Provider Demographics
NPI:1871537597
Name:RONCIN, ARLENE D (DC)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:D
Last Name:RONCIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2428 BRIDGE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4367
Mailing Address - Country:US
Mailing Address - Phone:732-892-5300
Mailing Address - Fax:732-892-1222
Practice Address - Street 1:2428 BRIDGE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-4367
Practice Address - Country:US
Practice Address - Phone:732-892-5300
Practice Address - Fax:732-892-1222
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38 MC00421600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
R760933Medicare ID - Type UnspecifiedMEDICARE
U 49072Medicare UPIN