Provider Demographics
NPI:1285770511
Name:CARUSO, GIULIO (DC)
Entity type:Individual
Prefix:DR
First Name:GIULIO
Middle Name:
Last Name:CARUSO
Suffix:
Gender:M
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:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-0833
Mailing Address - Country:US
Mailing Address - Phone:917-648-1779
Mailing Address - Fax:855-347-7879
Practice Address - Street 1:59-61 ELMORA AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-1657
Practice Address - Country:US
Practice Address - Phone:908-469-4356
Practice Address - Fax:855-347-7879
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00459700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ088317Medicare PIN