Provider Demographics
NPI:1922086891
Name:CARUSONE, ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:CARUSONE
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 1:724 RARITAN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2207
Mailing Address - Country:US
Mailing Address - Phone:732-388-7781
Mailing Address - Fax:732-388-8191
Practice Address - Street 1:724 RARITAN RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2207
Practice Address - Country:US
Practice Address - Phone:732-388-7781
Practice Address - Fax:732-388-8191
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-02
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00369700111NX0800X
NYX005872-1111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ592400Medicare ID - Type UnspecifiedPROVIDER NUMBER