Provider Demographics
NPI:1104137165
Name:ROBERT J. DUGO D.C. LLC
Entity type:Organization
Organization Name:ROBERT J. DUGO D.C. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-409-1401
Mailing Address - Street 1:42 E MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2295
Mailing Address - Country:US
Mailing Address - Phone:732-409-1401
Mailing Address - Fax:732-409-1403
Practice Address - Street 1:42 E MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2295
Practice Address - Country:US
Practice Address - Phone:732-409-1401
Practice Address - Fax:732-409-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ30MC00684400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty