Provider Demographics
NPI:1851775423
Name:TOMASSONI, MAURA A (DC)
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:A
Last Name:TOMASSONI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 KINDERKAMACK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1500
Mailing Address - Country:US
Mailing Address - Phone:201-523-9655
Mailing Address - Fax:201-523-9658
Practice Address - Street 1:550 KINDERKAMACK RD STE 203
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1500
Practice Address - Country:US
Practice Address - Phone:201-523-9655
Practice Address - Fax:201-523-9658
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00726500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor