Provider Demographics
NPI:1679897433
Name:CARLUCCI, DENNIS ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:ARTHUR
Last Name:CARLUCCI
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 1:152 PREAKNESS CIR
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-7436
Mailing Address - Country:US
Mailing Address - Phone:908-642-0399
Mailing Address - Fax:
Practice Address - Street 1:152 PREAKNESS CIR
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-7436
Practice Address - Country:US
Practice Address - Phone:908-642-0399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00523000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor