Provider Demographics
NPI:1770567299
Name:TALERICO, PATRICIA MARY (DC)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MARY
Last Name:TALERICO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 HWY 35
Mailing Address - Street 2:MONMOUTH EXECUTIVE PLAZA III, SUITE 101
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3537
Mailing Address - Country:US
Mailing Address - Phone:732-531-0999
Mailing Address - Fax:732-531-5582
Practice Address - Street 1:1300 HWY 35
Practice Address - Street 2:MONMOUTH EXECUTIVE PLAZA III, SUITE 101
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3537
Practice Address - Country:US
Practice Address - Phone:732-531-0999
Practice Address - Fax:732-531-5582
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ21258830443OtherBEECH STREET
NJNJ0334OtherLANDMARK
NJ052229700OtherAMERIHEALTH
NJ551131OtherAETNA
NJ929045OtherUNITED HEALTHCARE
NJP635570OtherOXFORD
NJP635570OtherOXFORD
NJNJ0334OtherLANDMARK