Provider Demographics
NPI:1962590323
Name:FOSS, CHRISTINE CARMEAN (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CARMEAN
Last Name:FOSS
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:18 NEWARK POMPTON TPKE
Mailing Address - Street 2:ADVANCED SPORTS MED & PT
Mailing Address - City:RIVERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07457
Mailing Address - Country:US
Mailing Address - Phone:973-616-4555
Mailing Address - Fax:973-616-3430
Practice Address - Street 1:18 NEWARK POMPTON TPKE
Practice Address - Street 2:ADVANCED SPORTS MED & PT
Practice Address - City:RIVERDALE
Practice Address - State:NJ
Practice Address - Zip Code:07457
Practice Address - Country:US
Practice Address - Phone:973-616-4555
Practice Address - Fax:973-616-3430
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2015-07-24
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Provider Licenses
StateLicense IDTaxonomies
NJMC00465800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ611046PHLMedicare PIN