Provider Demographics
NPI:1497891279
Name:CANOVA, JOSEPH T (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:CANOVA
Suffix:
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 1:118 STEPHENSBURG RD
Mailing Address - Street 2:
Mailing Address - City:PORT MURRAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07865-3205
Mailing Address - Country:US
Mailing Address - Phone:973-809-0672
Mailing Address - Fax:
Practice Address - Street 1:10 PINE ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4167
Practice Address - Country:US
Practice Address - Phone:973-809-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00326300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor