Provider Demographics
NPI:1790937597
Name:GUARINO CHIROPRACTIC PC
Entity Type:Organization
Organization Name:GUARINO CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:973-759-3600
Mailing Address - Street 1:858 JORALEMON ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1440
Mailing Address - Country:US
Mailing Address - Phone:973-759-3600
Mailing Address - Fax:973-759-3100
Practice Address - Street 1:858 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1440
Practice Address - Country:US
Practice Address - Phone:973-759-3600
Practice Address - Fax:973-759-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-13
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1645111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ135837Medicare PIN