Provider Demographics
NPI:1548332232
Name:PIZZOLO, GINAMARIE P (DC)
Entity type:Individual
Prefix:DR
First Name:GINAMARIE
Middle Name:P
Last Name:PIZZOLO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-2111
Mailing Address - Country:US
Mailing Address - Phone:732-281-4040
Mailing Address - Fax:732-281-6662
Practice Address - Street 1:1349 CHURCH RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-2111
Practice Address - Country:US
Practice Address - Phone:732-281-4040
Practice Address - Fax:732-281-6662
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00579900111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046933Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE