Healthcare Provider Details

I. General information

NPI: 1699708172
Provider Name (Legal Business Name): KARL JAMES NATRIELLO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 YARDVILLE HAMILTON SQU RD
HAMILTON SQUARE NJ
08690-2418
US

IV. Provider business mailing address

1940 YARDVILLE HAMILTON SQU RD
HAMILTON SQUARE NJ
08690-2418
US

V. Phone/Fax

Practice location:
  • Phone: 609-586-4100
  • Fax: 609-586-3683
Mailing address:
  • Phone: 609-586-4100
  • Fax: 609-586-3683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC03182
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: