Provider Demographics
NPI:1962431569
Name:CIFELLI, ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:CIFELLI
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 1:300 W WATER ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6533
Mailing Address - Country:US
Mailing Address - Phone:732-505-9477
Mailing Address - Fax:732-505-9577
Practice Address - Street 1:300 W WATER ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6533
Practice Address - Country:US
Practice Address - Phone:732-505-9477
Practice Address - Fax:732-505-9577
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00531600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ38MC00531600OtherSTATE LICENSE
NJ071819WUTMedicare PIN