Provider Demographics
NPI:1376561431
Name:TARTAGLIA, ROBERT (DS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:TARTAGLIA
Suffix:
Gender:M
Credentials:DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ELDEN DR
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2809
Mailing Address - Country:US
Mailing Address - Phone:201-264-2099
Mailing Address - Fax:201-327-3597
Practice Address - Street 1:401 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2154
Practice Address - Country:US
Practice Address - Phone:201-264-2099
Practice Address - Fax:201-327-3597
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00590400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor