Provider Demographics
NPI:1265615900
Name:ANTHONY C. SORIERO D.C.L.L.C
Entity type:Organization
Organization Name:ANTHONY C. SORIERO D.C.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SORIERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-586-9199
Mailing Address - Street 1:3679A NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQUARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-2611
Mailing Address - Country:US
Mailing Address - Phone:609-586-9199
Mailing Address - Fax:609-586-5766
Practice Address - Street 1:3679A NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-2611
Practice Address - Country:US
Practice Address - Phone:609-586-9199
Practice Address - Fax:609-586-5766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00138200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ076157Medicare PIN