Provider Demographics
NPI:1114334133
Name:D'AMELIO, CYNTHIA (DC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:D'AMELIO
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 1:290 MADISON AVE STE 3A
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7401
Mailing Address - Country:US
Mailing Address - Phone:973-900-0238
Mailing Address - Fax:973-590-2449
Practice Address - Street 1:290 MADISON AVE STE 3A
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7401
Practice Address - Country:US
Practice Address - Phone:973-590-2448
Practice Address - Fax:973-590-2449
Is Sole Proprietor?:No
Enumeration Date:2014-07-22
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00729300111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician