Individual
DR. PASQUALE PUCCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
25 COMMERCE DR, CRANFORD, NJ 07016-3605
(904) 474-9444
(908) 474-9440
Mailing address
10 N WOOD AVE, SUITE E, LINDEN, NJ 07036-5200
(904) 474-9444
(908) 474-8561
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00475900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223629969
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
07/01/2006
Last updated
06/12/2025
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