Healthcare Provider Details

I. General information

NPI: 1538498233
Provider Name (Legal Business Name): IRENE CATANIA N.D., C.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 12/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 FIRST ST
HO HO KUS NJ
07423-1575
US

IV. Provider business mailing address

119 FIRST ST
HO HO KUS NJ
07423-1575
US

V. Phone/Fax

Practice location:
  • Phone: 201-444-4900
  • Fax: 201-444-1437
Mailing address:
  • Phone: 201-444-4900
  • Fax: 201-444-1437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number000169
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: