Provider Demographics
NPI:1891846291
Name:SANTANGELO, RONALD JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:SANTANGELO
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 1:191 WOODPORT RD
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2607
Mailing Address - Country:US
Mailing Address - Phone:973-670-3232
Mailing Address - Fax:973-729-8406
Practice Address - Street 1:191 WOODPORT RD
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2607
Practice Address - Country:US
Practice Address - Phone:973-670-3232
Practice Address - Fax:973-729-8406
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04102111NR0200X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0200XChiropractic ProvidersChiropractorRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP1219227OtherOXFORD
NJ223595632OtherTAX ID #