Provider Demographics
NPI:1992747331
Name:GIARDINA CHIROPRACTIC
Entity type:Organization
Organization Name:GIARDINA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:VETO
Authorized Official - Last Name:GIARDINA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-240-2010
Mailing Address - Street 1:202 ROUTE 37 W
Mailing Address - Street 2:SUITE 7
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8055
Mailing Address - Country:US
Mailing Address - Phone:732-240-2010
Mailing Address - Fax:732-286-9050
Practice Address - Street 1:202 ROUTE 37 W
Practice Address - Street 2:SUITE 7
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8055
Practice Address - Country:US
Practice Address - Phone:732-240-2010
Practice Address - Fax:732-286-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP3482568OtherOXFORD
NJT23626Medicare UPIN
NJ83449Medicare ID - Type Unspecified