Provider Demographics
NPI:1700945953
Name:CILLO-POLINO, NANCY (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:CILLO-POLINO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 QUINCE CIR
Mailing Address - Street 2:6 QUINCE CIRCLE
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5280
Mailing Address - Country:US
Mailing Address - Phone:609-410-8457
Mailing Address - Fax:
Practice Address - Street 1:6 QUINCE CIR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5280
Practice Address - Country:US
Practice Address - Phone:609-410-8457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00554700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor