Provider Demographics
NPI:1801042411
Name:COLACURCIO, STEVE VINCENT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:VINCENT
Last Name:COLACURCIO
Suffix:JR
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 1:3 FARMSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4305
Mailing Address - Country:US
Mailing Address - Phone:201-888-0868
Mailing Address - Fax:
Practice Address - Street 1:85 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5311
Practice Address - Country:US
Practice Address - Phone:973-228-2481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00668500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor