Provider Demographics
NPI:1598578890
Name:FUSION CHIROPRACTIC LLC
Entity type:Organization
Organization Name:FUSION CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BELCASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-692-4032
Mailing Address - Street 1:7 SUGAR LOAF HL
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1732
Mailing Address - Country:US
Mailing Address - Phone:908-692-4032
Mailing Address - Fax:
Practice Address - Street 1:242 DELSEA DR
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-9469
Practice Address - Country:US
Practice Address - Phone:908-692-4032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty