Provider Demographics
NPI:1114047909
Name:PANTONE, JOSEPH (MA)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:PANTONE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1944 STATE ROUTE 33
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4862
Mailing Address - Country:US
Mailing Address - Phone:732-988-3441
Mailing Address - Fax:732-988-7123
Practice Address - Street 1:1944 STATE ROUTE 33
Practice Address - Street 2:SUITE 202
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4862
Practice Address - Country:US
Practice Address - Phone:732-988-3441
Practice Address - Fax:732-988-7123
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor