Provider Demographics
NPI:1750470928
Name:TUZZO, JEFFREY ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALEXANDER
Last Name:TUZZO
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 1:170 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1310
Mailing Address - Country:US
Mailing Address - Phone:201-230-5302
Mailing Address - Fax:
Practice Address - Street 1:1321 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5517
Practice Address - Country:US
Practice Address - Phone:201-795-5492
Practice Address - Fax:201-653-6411
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC005948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor