Dr. Anthony Larusso
Rehabilitation Chiropractor
500 Mount Prospect Ave
Newark
, New Jersey 07104-2904
Dr. Anthony Larusso
Rehabilitation Chiropractor
500 Mount Prospect Ave
Newark
, New Jersey 07104-2904
(973) 350-0097
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Anthony Larusso
- 500 Mount Prospect Ave
- Newark, NJ
- Zip : 07104-2904
- Fax : (973) 350-0097
- Phone : (973) 350-0073
Second Address
- Dr. Anthony Larusso
- 500 Mount Prospect Ave
- Newark, NJ
- Zip : 07104-2904
- Fax : (973) 350-0097
- Phone : (973) 350-0073
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | MC 4040 | NJ |
National Provider Identifier
| NPI | 1013241520 |
|---|---|
| Provider Name | Dr. Anthony Larusso |
| First Address | Newark, NJ 07104-2904 |
| Second Address | Newark, NJ 07104-2904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2009 |
| Last Update Date | 30/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.