Provider Demographics
NPI:1235299009
Name:FORCELLA, ARMOND T (MA DC)
Entity Type:Individual
Prefix:
First Name:ARMOND
Middle Name:T
Last Name:FORCELLA
Suffix:
Gender:M
Credentials:MA DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 S LIVINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4327
Mailing Address - Country:US
Mailing Address - Phone:973-533-9191
Mailing Address - Fax:973-533-0028
Practice Address - Street 1:445 S LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4327
Practice Address - Country:US
Practice Address - Phone:973-533-9191
Practice Address - Fax:973-533-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00161100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ195178Medicare ID - Type UnspecifiedCHIROPRACTIC