Provider Demographics
NPI:1649343443
Name:DELPINO, BRENDAN MARLOWE (DC)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:MARLOWE
Last Name:DELPINO
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:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-0092
Mailing Address - Country:US
Mailing Address - Phone:732-995-0198
Mailing Address - Fax:732-462-3466
Practice Address - Street 1:4 BROAD ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1752
Practice Address - Country:US
Practice Address - Phone:732-938-3477
Practice Address - Fax:732-938-3677
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00564300111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology