MEDICARE: MARY LOUISE ORLANDO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00376700	NJ

General Provider Information

NPI Number	:	1285139378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LOUISE ORLANDO DC

Provider Business Mailing Address
First Line	:	210 SCOTCH RD
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-2513
Country	:	US
Telephone Number	:	609-530-9080
Fax Number	:	609-530-9088

Provider Business Practice Location Address
First Line	:	210 SCOTCH RD
Second Line	:
City	:	EWING
State	:	NJ
Zip	:	08628-2513
Country	:	US
Telephone Number	:	609-530-9080
Fax Number	:	609-530-9088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	03/29/2018

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Directions to “ MARY LOUISE ORLANDO DC” Practice Location

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