Provider Demographics
NPI:1619197829
Name:BELVERIO, FRANK G SR (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:BELVERIO
Suffix:SR
Gender:M
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:PO BOX 1343
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-1343
Mailing Address - Country:US
Mailing Address - Phone:973-783-1200
Mailing Address - Fax:973-783-1266
Practice Address - Street 1:39 SOUTH FULLERTON AVENUE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-6303
Practice Address - Country:US
Practice Address - Phone:973-783-1200
Practice Address - Fax:973-783-1266
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO4149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor