Provider Demographics
NPI:1154590164
Name:SAPIENZA, MICHAEL SANTINO (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SANTINO
Last Name:SAPIENZA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333A ROUTE 46 WEST
Mailing Address - Street 2:SUITE 135
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004
Mailing Address - Country:US
Mailing Address - Phone:973-943-4300
Mailing Address - Fax:973-227-3335
Practice Address - Street 1:333A ROUTE 46 WEST
Practice Address - Street 2:SUITE 135
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004
Practice Address - Country:US
Practice Address - Phone:973-943-4300
Practice Address - Fax:973-227-3335
Is Sole Proprietor?:No
Enumeration Date:2008-02-23
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00640200111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation