Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | MC04069 | NJ |
NPI | 1407926447 |
---|---|
Provider Name | Dr. John Thomas Cece |
First Address | Waldwick, NJ 07463-1851 |
Second Address | Waldwick, NJ 07463-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1077458 | UNITEDHEALTHCARE ID# (01) | NJ |
MC04069 | STATE LICENSE NUMBER (01) | NJ |
P555681 | OXFORD INSURANCE ID# (01) | NJ |
U37214 | (02) | NJ |