Individual
PAT PAGNOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 CHELSEA AVE, PINE BEACH, NJ 08741-1409
(732) 341-5954
(732) 341-5955
Mailing address
101 CHELSEA AVE, PINE BEACH, NJ 08741-1409
(732) 341-5954
(732) 341-5955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00318900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811154648
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
05/12/2006
Last updated
10/25/2016
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