Provider Demographics
NPI:1225117641
Name:PALONIS, JOSEPH W (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:PALONIS
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 1:8 READING RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2081
Mailing Address - Country:US
Mailing Address - Phone:908-806-7575
Mailing Address - Fax:908-806-7573
Practice Address - Street 1:8 READING RD
Practice Address - Street 2:SUITE 205
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-2081
Practice Address - Country:US
Practice Address - Phone:908-806-7575
Practice Address - Fax:908-806-7573
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00332200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU01570Medicare UPIN
NJPA574774Medicare ID - Type Unspecified