Provider Demographics
NPI:1992843460
Name:AWARI, ADAM (DC)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:AWARI
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 1:1020 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2244
Mailing Address - Country:US
Mailing Address - Phone:973-247-2700
Mailing Address - Fax:973-247-2703
Practice Address - Street 1:1020 MAIN ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2244
Practice Address - Country:US
Practice Address - Phone:973-247-2700
Practice Address - Fax:973-247-2703
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1K8814OtherHEALTH NET
NJ1K8814OtherLANDMARK
NJP1249997OtherOXFORD
NJ1K88141DOtherGUARDIAN
NJ1K88141DOtherGUARDIAN