Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00771700 | NJ |
NPI | 1003427576 |
---|---|
Provider Name | Thomas Auerbach |
First Address | Wayne, NJ 07470-5158 |
Second Address | Little Falls, NJ 07424-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |