Provider Demographics
NPI:1881860203
Name:ROSSI FAMILY CHIROPRACTIC, INC
Entity type:Organization
Organization Name:ROSSI FAMILY CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:908-903-9400
Mailing Address - Street 1:1107 VALLEY RD STE 4
Mailing Address - Street 2:
Mailing Address - City:STIRLING
Mailing Address - State:NJ
Mailing Address - Zip Code:07980-1524
Mailing Address - Country:US
Mailing Address - Phone:908-903-9400
Mailing Address - Fax:908-903-1593
Practice Address - Street 1:1107 VALLEY RD STE 4
Practice Address - Street 2:
Practice Address - City:STIRLING
Practice Address - State:NJ
Practice Address - Zip Code:07980-1524
Practice Address - Country:US
Practice Address - Phone:908-903-9400
Practice Address - Fax:908-903-1593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1962539122OtherNPI
NJ1962539122OtherNPI