Provider Demographics
NPI:1598840654
Name:PUGLISI, WILLIAM F (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:PUGLISI
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 1:35 FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2604
Mailing Address - Country:US
Mailing Address - Phone:973-980-1269
Mailing Address - Fax:908-933-0379
Practice Address - Street 1:35 FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2604
Practice Address - Country:US
Practice Address - Phone:973-980-1269
Practice Address - Fax:908-933-0379
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC2474111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation