Healthcare Provider Details

I. General information

NPI: 1295893519
Provider Name (Legal Business Name): JOSEPH J CILEA D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOSEPH J CILEA D.C

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 N MAIN ST
MARLBORO NJ
07746-1439
US

IV. Provider business mailing address

17 N MAIN ST
MARLBORO NJ
07746-1439
US

V. Phone/Fax

Practice location:
  • Phone: 732-431-2155
  • Fax: 732-431-2889
Mailing address:
  • Phone: 732-431-2155
  • Fax: 732-431-2889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00482900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: