Provider Demographics
NPI:1942709787
Name:VALLOROSI, BERNADETTE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:BERNADETTE
Middle Name:ANN
Last Name:VALLOROSI
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 1:70 YELLOW FRAME RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-5400
Mailing Address - Country:US
Mailing Address - Phone:973-725-9487
Mailing Address - Fax:
Practice Address - Street 1:53 SPARTA AVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1814
Practice Address - Country:US
Practice Address - Phone:973-725-9487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00554500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor