Individual provider · Type 1 NPI
Richard W. Dicicco, DC
Chiropractor · Cedar Brook, NJ
NPI number
1073668265
Active
Practice location
1 Myers Avenue
Cedar Brook, NJ 08018
Mailing address
P.o. Box 308, 1 Myers Ave
Cedar Brook, NJ 08018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00418400 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1073668265
Richard W. Dicicco, DC's National Provider Identifier is 1073668265, issued on Jan 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Cedar Brook, NJ. The record was last updated on Jul 8, 2007.