Provider Demographics
NPI:1063466472
Name:PANTANO & ROSSI CHIROPRACTIC CENTER PA
Entity Type:Organization
Organization Name:PANTANO & ROSSI CHIROPRACTIC CENTER PA
Other - Org Name:NORTHFIELD CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-965-5533
Mailing Address - Street 1:300 PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-1444
Mailing Address - Country:US
Mailing Address - Phone:609-965-5533
Mailing Address - Fax:609-965-7278
Practice Address - Street 1:1637 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1185
Practice Address - Country:US
Practice Address - Phone:609-272-1150
Practice Address - Fax:609-272-1160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty