Healthcare Provider Details

I. General information

NPI: 1598840654
Provider Name (Legal Business Name): WILLIAM F PUGLISI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FRANKLIN PL
TOTOWA NJ
07512-2604
US

IV. Provider business mailing address

35 FRANKLIN PL
TOTOWA NJ
07512-2604
US

V. Phone/Fax

Practice location:
  • Phone: 973-980-1269
  • Fax: 908-933-0379
Mailing address:
  • Phone: 973-980-1269
  • Fax: 908-933-0379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberMC2474
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: