Healthcare Provider Details

I. General information

NPI: 1003986654
Provider Name (Legal Business Name): CHRISTOPHER MARCHESE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SOMERSET ST
SOMERVILLE NJ
08876-2828
US

IV. Provider business mailing address

15 SOMERSET ST
SOMERVILLE NJ
08876-2828
US

V. Phone/Fax

Practice location:
  • Phone: 908-685-6888
  • Fax: 908-685-1869
Mailing address:
  • Phone: 908-685-6888
  • Fax: 908-685-1869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC04476
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberMC04476
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: