Healthcare Provider Details

I. General information

NPI: 1033250261
Provider Name (Legal Business Name): RICHARD NICHOLAS CATTAFI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: RICHARD NICHOLAS CATTAFI D.C.

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 10/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WEST KINGFISHER WAY.
LAVALLETTE NJ
08735
US

IV. Provider business mailing address

100 W KINGFISHER WAY
LAVALLETTE NJ
08735
US

V. Phone/Fax

Practice location:
  • Phone: 732-618-0495
  • Fax:
Mailing address:
  • Phone: 732-618-0495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00212400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: