Healthcare Provider Details

I. General information

NPI: 1154424505
Provider Name (Legal Business Name): RONALD ANTHONY DELANZO JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 SHORE RD
SOMERS POINT NJ
08244-2363
US

IV. Provider business mailing address

750 SHORE RD
SOMERS POINT NJ
08244-2363
US

V. Phone/Fax

Practice location:
  • Phone: 609-399-4717
  • Fax: 609-399-2561
Mailing address:
  • Phone: 609-399-4717
  • Fax: 609-399-2561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00636100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: