Healthcare Provider Details

I. General information

NPI: 1124117239
Provider Name (Legal Business Name): JOSEPH FRANK BIANCHI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 10/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 CENTRAL AVE 302
EAST ORANGE NJ
07018-1951
US

IV. Provider business mailing address

88 PERIWINKLE CIR
TINTON FALLS NJ
07712-7786
US

V. Phone/Fax

Practice location:
  • Phone: 973-266-7860
  • Fax:
Mailing address:
  • Phone: 732-695-1996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00492500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: