Provider Demographics
NPI:1942254073
Name:MARULLO, JOHN FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANK
Last Name:MARULLO
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 1:2909 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1513
Mailing Address - Country:US
Mailing Address - Phone:732-727-5502
Mailing Address - Fax:732-727-5503
Practice Address - Street 1:2909 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1513
Practice Address - Country:US
Practice Address - Phone:732-727-5502
Practice Address - Fax:732-727-5503
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046397XE1OtherPHYSICIAN RENDERING #
NJ5616180001Medicare NSC