Healthcare Provider Details

I. General information

NPI: 1336224765
Provider Name (Legal Business Name): SUSAN M GUARINO CHIROPRACTOR DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 BRIAN RD
WEST CALDWELL NJ
07006-8236
US

IV. Provider business mailing address

858 JORALEMON STREET
BELLEVILLE NJ
07109
US

V. Phone/Fax

Practice location:
  • Phone: 973-985-1600
  • Fax:
Mailing address:
  • Phone: 973-759-3600
  • Fax: 973-759-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberNJ1645
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: