Provider Demographics
NPI:1306075387
Name:ROSATI, GARETT LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:GARETT
Middle Name:LOUIS
Last Name:ROSATI
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 1:346 SOUTH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1356
Mailing Address - Country:US
Mailing Address - Phone:908-288-7682
Mailing Address - Fax:908-288-7683
Practice Address - Street 1:346 SOUTH AVE STE 4
Practice Address - Street 2:
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1356
Practice Address - Country:US
Practice Address - Phone:908-288-7682
Practice Address - Fax:908-288-7683
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-10
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00694900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty