Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38MT00010500 | NJ |
NPI | 1316617921 |
---|---|
Provider Name | Julia E Caruso |
First Address | Flemington, NJ 08822-5745 |
Second Address | Flemington, NJ 08822-5745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2021 |
Last Update Date | 15/09/2021 |