Provider Demographics
NPI:1487879334
Name:HAYEK, RONALD ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ANTHONY
Last Name:HAYEK
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 1:169 UNION BLVD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2603
Mailing Address - Country:US
Mailing Address - Phone:973-263-3823
Mailing Address - Fax:
Practice Address - Street 1:169 UNION BLVD
Practice Address - Street 2:SUITE 2C
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2603
Practice Address - Country:US
Practice Address - Phone:973-904-9909
Practice Address - Fax:973-904-9956
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00511900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor