Provider Demographics
NPI:1619440963
Name:ORECCHIO HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:ORECCHIO HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORECCHIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC, MSACN
Authorized Official - Phone:201-787-9293
Mailing Address - Street 1:10 BARK RD
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6777
Mailing Address - Country:US
Mailing Address - Phone:201-787-9293
Mailing Address - Fax:
Practice Address - Street 1:10 BARK RD
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6777
Practice Address - Country:US
Practice Address - Phone:201-787-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty