Provider Demographics
NPI:1447410329
Name:PIOTROWSKI, DENISE MARIE (DC)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:PIOTROWSKI
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 1:655 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2351
Mailing Address - Country:US
Mailing Address - Phone:732-409-6777
Mailing Address - Fax:732-409-7435
Practice Address - Street 1:655 PARK AVE
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2351
Practice Address - Country:US
Practice Address - Phone:732-409-6777
Practice Address - Fax:732-409-7435
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00319100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor