Provider Demographics
NPI:1356092738
Name:IULIANO, JOSEPH NICKOLAS (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:NICKOLAS
Last Name:IULIANO
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 1:60 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1916
Mailing Address - Country:US
Mailing Address - Phone:973-761-0022
Mailing Address - Fax:
Practice Address - Street 1:60 1ST ST
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1916
Practice Address - Country:US
Practice Address - Phone:973-761-0022
Practice Address - Fax:973-761-1546
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00794600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor