Provider Demographics
NPI:1306661376
Name:PINNACLE WELLNESS AND PAIN RELIEF
Entity type:Organization
Organization Name:PINNACLE WELLNESS AND PAIN RELIEF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:MARZO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-566-8700
Mailing Address - Street 1:1070 STATE ROUTE 34 STE U
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3481
Mailing Address - Country:US
Mailing Address - Phone:732-566-8700
Mailing Address - Fax:
Practice Address - Street 1:1070 STATE ROUTE 34 STE U
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3481
Practice Address - Country:US
Practice Address - Phone:732-566-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty