Provider Demographics
NPI:1023260411
Name:VICTOR, FRANK R (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:R
Last Name:VICTOR
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2640 HIGHWAY 70
Mailing Address - Street 2:BUILDING 5
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736
Mailing Address - Country:US
Mailing Address - Phone:732-449-9122
Mailing Address - Fax:732-528-5262
Practice Address - Street 1:2640 HIGHWAY 70
Practice Address - Street 2:BUILDING 5
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-2609
Practice Address - Country:US
Practice Address - Phone:732-449-9122
Practice Address - Fax:732-528-5262
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMC01567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor