Provider Demographics
NPI:1952486169
Name:COMELATO REMETZ, MARIANGELA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIANGELA
Middle Name:
Last Name:COMELATO REMETZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MARIANGELAANGELA
Other - Middle Name:ROSA
Other - Last Name:COMELATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12 PUTTERS RD
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-2017
Mailing Address - Country:US
Mailing Address - Phone:973-584-7848
Mailing Address - Fax:973-584-7848
Practice Address - Street 1:12 PUTTERS RD
Practice Address - Street 2:
Practice Address - City:SUCCASUNNA
Practice Address - State:NJ
Practice Address - Zip Code:07876-2017
Practice Address - Country:US
Practice Address - Phone:973-584-7848
Practice Address - Fax:973-584-7848
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00427100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ860851Medicare ID - Type UnspecifiedCHIROPRACTOR