Provider Demographics
NPI:1457450074
Name:VERCHIO, JULIA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANNE
Last Name:VERCHIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:ANNE
Other - Last Name:STELLUTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1812 FRIES MILL RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3318
Mailing Address - Country:US
Mailing Address - Phone:856-457-9428
Mailing Address - Fax:
Practice Address - Street 1:1812 FRIES MILL RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-3318
Practice Address - Country:US
Practice Address - Phone:856-457-9428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX10208111NS0005X
NJ38MC00675800111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician