Provider Demographics
NPI:1427221423
Name:MESSINA, DARIA (DC)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1174 FISCHER BLVD
Mailing Address - Street 2:UNIT 2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3085
Mailing Address - Country:US
Mailing Address - Phone:732-929-3322
Mailing Address - Fax:
Practice Address - Street 1:1174 FISCHER BLVD
Practice Address - Street 2:UNIT 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3085
Practice Address - Country:US
Practice Address - Phone:732-929-3322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00348100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ605905Medicare PIN