Provider Demographics
NPI:1134885536
Name:CUFFARI, RENAE
Entity type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:CUFFARI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S LENOLA RD STE 23
Mailing Address - Street 2:
Mailing Address - City:MAPLE SHADE
Mailing Address - State:NJ
Mailing Address - Zip Code:08052-3435
Mailing Address - Country:US
Mailing Address - Phone:856-733-0684
Mailing Address - Fax:
Practice Address - Street 1:300 S LENOLA RD STE 23
Practice Address - Street 2:
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-3435
Practice Address - Country:US
Practice Address - Phone:856-733-0684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00786000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor