Provider Demographics
NPI:1093056657
Name:PEPITONE, CHRISTOPHER JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:PEPITONE
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 1:280 STATE ROUTE 35
Mailing Address - Street 2:STE 204
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5900
Mailing Address - Country:US
Mailing Address - Phone:732-747-0083
Mailing Address - Fax:732-747-6652
Practice Address - Street 1:280 STATE ROUTE 35
Practice Address - Street 2:STE 204
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5900
Practice Address - Country:US
Practice Address - Phone:732-747-0083
Practice Address - Fax:732-747-6652
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00703400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor