Provider Demographics
NPI:1063559839
Name:SCHWARTZ, ALAN IRA (DC)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:IRA
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1368
Mailing Address - Country:US
Mailing Address - Phone:732-687-5402
Mailing Address - Fax:732-786-9895
Practice Address - Street 1:150A TICES LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2015
Practice Address - Country:US
Practice Address - Phone:732-254-5553
Practice Address - Fax:732-238-6194
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC02282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor