Provider Demographics
NPI:1528219524
Name:SPANO, FRANK J JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:SPANO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:180 TICES LN
Mailing Address - Street 2:BLDG A SUITE 105
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1337
Mailing Address - Country:US
Mailing Address - Phone:732-253-5450
Mailing Address - Fax:732-253-5451
Practice Address - Street 1:180 TICES LN
Practice Address - Street 2:BLDG A SUITE 105
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-1337
Practice Address - Country:US
Practice Address - Phone:732-253-5450
Practice Address - Fax:732-253-5451
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ38MC00668300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor