Annunziato, Jack

Annunziato, Jack is an individual health care provider with primary practice located at 1200 E Ridgewood Ave Ste 306 , Ridgewood NJ 07450-3937. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Annunziato, Jack can be contacted via phone (201) 612-4857.

Contact Information

Primary practice address
1200 E Ridgewood Ave Ste 306 Ridgewood NJ 07450-3937
Phone: (201) 612-4857
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 25MB10536200 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X OT016359 Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MB10536200 New Jersey

Profile Details

NPI number 1821478744
LBN Legal business name Annunziato, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Apr 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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