Provider Demographics
NPI:1679711584
Name:WAWRZYNIAK, CHRISTOPHER ROSS (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ROSS
Last Name:WAWRZYNIAK
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 1:17 WATCHUNG AVE
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2700
Mailing Address - Country:US
Mailing Address - Phone:973-635-2605
Mailing Address - Fax:973-635-2646
Practice Address - Street 1:17 WATCHUNG AVE
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2700
Practice Address - Country:US
Practice Address - Phone:973-635-2605
Practice Address - Fax:973-635-2646
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00672100111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation