Healthcare Provider Details

I. General information

NPI: 1538286729
Provider Name (Legal Business Name): JOHN P PINTO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 04/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 CENTRAL AVE
WESTFIELD NJ
07090-2520
US

IV. Provider business mailing address

439 CENTRAL AVE
WESTFIELD NJ
07090-2520
US

V. Phone/Fax

Practice location:
  • Phone: 908-228-5911
  • Fax: 908-228-5913
Mailing address:
  • Phone: 908-228-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number0104001861
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: