Provider Demographics
NPI:1902182140
Name:SANTORO CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:SANTORO CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANTORO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-365-8397
Mailing Address - Street 1:327 CENTRAL AVE.
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-2099
Mailing Address - Country:US
Mailing Address - Phone:609-365-8397
Mailing Address - Fax:609-365-8441
Practice Address - Street 1:327 CENTRAL AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-2099
Practice Address - Country:US
Practice Address - Phone:609-365-8397
Practice Address - Fax:609-365-8441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00490900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJPENDINGMedicare UPIN