Provider Demographics
NPI:1639208358
Name:MASTELLONE, FRANK GUY (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:GUY
Last Name:MASTELLONE
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 1:3 TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2219
Mailing Address - Country:US
Mailing Address - Phone:732-255-5458
Mailing Address - Fax:
Practice Address - Street 1:721 AUTH AVE
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2965
Practice Address - Country:US
Practice Address - Phone:908-461-5841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor