Provider Demographics
NPI:1679642755
Name:BIGGIANI, GREGORY (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:BIGGIANI
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 1:504 SICKLERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2626
Mailing Address - Country:US
Mailing Address - Phone:856-875-1515
Mailing Address - Fax:856-728-5444
Practice Address - Street 1:504 SICKLERVILLE RD
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2626
Practice Address - Country:US
Practice Address - Phone:856-875-1515
Practice Address - Fax:856-728-5444
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU09649Medicare UPIN
NJ642244PPMMedicare PIN