Healthcare Provider Details

I. General information

NPI: 1407926447
Provider Name (Legal Business Name): JOHN THOMAS CECE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 FRANKLIN TPKE SUITE 5
WALDWICK NJ
07463-1851
US

IV. Provider business mailing address

71 FRANKLIN TPKE SUITE 5
WALDWICK NJ
07463-1851
US

V. Phone/Fax

Practice location:
  • Phone: 201-445-9739
  • Fax: 201-445-9401
Mailing address:
  • Phone: 201-445-9739
  • Fax: 201-445-9401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberMC04069
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: