Healthcare Provider Details

I. General information

NPI: 1013499540
Provider Name (Legal Business Name): ANTONIO FRANCESCO DUARDO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 ROUTE 10 STE 204
RANDOLPH NJ
07869-1925
US

IV. Provider business mailing address

765 ROUTE 10 STE 204
RANDOLPH NJ
07869-1925
US

V. Phone/Fax

Practice location:
  • Phone: 201-956-7614
  • Fax:
Mailing address:
  • Phone: 201-956-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00813100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: