Provider Demographics
NPI:1164543526
Name:WERKO, DARLENE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:WERKO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:STISO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:124 INMAN AVE
Mailing Address - Street 2:
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-1822
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:124 INMAN AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-1822
Practice Address - Country:US
Practice Address - Phone:732-381-0375
Practice Address - Fax:732-381-6410
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05514111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ031258Medicare ID - Type Unspecified