Provider Demographics
NPI:1467518126
Name:FUSCALDO, FRANK JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:FUSCALDO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 SECRETARIAT PL
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-1980
Mailing Address - Country:US
Mailing Address - Phone:201-407-6156
Mailing Address - Fax:973-756-4078
Practice Address - Street 1:1999 ROUTE 88
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3152
Practice Address - Country:US
Practice Address - Phone:732-903-2222
Practice Address - Fax:732-903-2111
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC004502111N00000X
NJ38MC00450200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU59304Medicare UPIN
NJ805082N10Medicare ID - Type Unspecified