Provider Demographics
NPI:1043328883
Name:PIERRO, ANTHONY F (DC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:F
Last Name:PIERRO
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 1:180 TICES LN STE 105
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1345
Mailing Address - Country:US
Mailing Address - Phone:732-253-5450
Mailing Address - Fax:732-253-5451
Practice Address - Street 1:180 TICES LN STE 105
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1345
Practice Address - Country:US
Practice Address - Phone:732-253-5450
Practice Address - Fax:732-253-5451
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00478300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ076651Medicare ID - Type Unspecified
U98670Medicare UPIN