Individual
DR. TRICIA MASTROPIETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA DC
Contact information
Practice address
1114 RARITAN RD, SUITE 4, CLARK, NJ 07066-1330
(732) 388-3828
(732) 388-3829
Mailing address
1114 RARITAN RD, SUITE 4, CLARK, NJ 07066-1330
(732) 388-3828
(732) 388-3829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00600800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066781TLK
MEDICARE PROVIDER PIN #
NJ
01
—
3698573
AETNA PROV #
NJ
01
—
DC8296
RAILROAD MEDICARE GROUP #
NJ
01
—
P00192623
RAILROAD MEDICARE #
NJ
01
—
P2901780
OXFORD PROVIDER #
NJ
Enumeration date
11/01/2006
Last updated
07/08/2007
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