Provider Demographics
NPI:1023022571
Name:PUGLIESE, ANTONIO (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
Last Name:PUGLIESE
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 1:812 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5625
Mailing Address - Country:US
Mailing Address - Phone:908-654-3040
Mailing Address - Fax:908-654-9286
Practice Address - Street 1:812 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5625
Practice Address - Country:US
Practice Address - Phone:908-654-3040
Practice Address - Fax:908-654-9286
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U93054Medicare UPIN
NJ065156Medicare PIN