Provider Demographics
NPI:1013945351
Name:D'ANGIOLILLO, JOSEPH CARMEN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CARMEN
Last Name:D'ANGIOLILLO
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 1:11 CLYDE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5035
Mailing Address - Country:US
Mailing Address - Phone:732-873-2222
Mailing Address - Fax:732-873-3939
Practice Address - Street 1:11 CLYDE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5035
Practice Address - Country:US
Practice Address - Phone:732-873-2222
Practice Address - Fax:732-873-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00285800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
P1495322OtherOXFORD INSURANCE
P1495322OtherOXFORD INSURANCE
T45136Medicare UPIN