Provider Demographics
NPI:1760686232
Name:JOSEPH TUZZEO DC PA
Entity type:Organization
Organization Name:JOSEPH TUZZEO DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:B
Authorized Official - Last Name:TUZZEO
Authorized Official - Suffix:IV
Authorized Official - Credentials:DC
Authorized Official - Phone:973-838-8878
Mailing Address - Street 1:1355 ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1726
Mailing Address - Country:US
Mailing Address - Phone:973-838-8878
Mailing Address - Fax:973-838-8871
Practice Address - Street 1:1355 ROUTE 23
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1726
Practice Address - Country:US
Practice Address - Phone:973-838-8878
Practice Address - Fax:973-838-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC 001213111N00000X
NJMC004822111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherTAX ID
NJ022982Medicare ID - Type Unspecified
NJ091873Medicare ID - Type UnspecifiedGROUP
NJT453215Medicare ID - Type Unspecified
NJU73491Medicare UPIN