Provider Demographics
NPI:1124177274
Name:MICHELLE MAURO RABITO ,P.C.
Entity type:Organization
Organization Name:MICHELLE MAURO RABITO ,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MAURO
Authorized Official - Last Name:RABITO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-466-3131
Mailing Address - Street 1:83 PRINCETON AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-2020
Mailing Address - Country:US
Mailing Address - Phone:609-466-3131
Mailing Address - Fax:609-466-3900
Practice Address - Street 1:83 PRINCETON AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-2020
Practice Address - Country:US
Practice Address - Phone:609-466-3131
Practice Address - Fax:609-466-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ087664Medicare ID - Type UnspecifiedGROUP ID