Provider Demographics
NPI:1053572693
Name:EPSTEIN, ALAN P (DC)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:P
Last Name:EPSTEIN
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 1:315 ELMORA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1383
Mailing Address - Country:US
Mailing Address - Phone:908-289-7500
Mailing Address - Fax:908-289-2171
Practice Address - Street 1:315 ELMORA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1383
Practice Address - Country:US
Practice Address - Phone:908-289-7500
Practice Address - Fax:908-289-2171
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00441900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJEP487645Medicare UPIN