Healthcare Provider Details

I. General information

NPI: 1487752143
Provider Name (Legal Business Name): STEPHEN GERARD PUZIO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7460 LANCASTER PIKE SUITE 8
HOCKESSIN DE
19707-9294
US

IV. Provider business mailing address

PO BOX 598
HOCKESSIN DE
19707-0598
US

V. Phone/Fax

Practice location:
  • Phone: 302-234-4045
  • Fax: 302-234-4046
Mailing address:
  • Phone: 302-894-0748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF1-0000359
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: