Provider Demographics
NPI:1770673196
Name:BARBIERI, EDWARD GERARD (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:GERARD
Last Name:BARBIERI
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:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889
Mailing Address - Country:US
Mailing Address - Phone:908-534-6311
Mailing Address - Fax:908-534-0545
Practice Address - Street 1:136 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889
Practice Address - Country:US
Practice Address - Phone:908-534-6311
Practice Address - Fax:908-534-0545
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00179600111N00000X
NYX0021571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor