Organization
RIVERSIDE PHYSICAL MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIULIO CARUSO DC (OWNER/PROVIDER)
(908) 469-4356
Entity
Organization
Contact information
Practice address
59-61 ELMORA AVE, ELIZABETH, NJ 07202-1657
(908) 469-4356
(855) 347-7879
Mailing address
PO BOX 833, RED BANK, NJ 07701-0833
(917) 648-1779
(855) 347-7879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184795916
KEVIN GUINTA
NJ
Enumeration date
09/02/2021
Last updated
09/02/2021
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