Provider Demographics
NPI:1447456629
Name:GIOVATTO, GIUSEPPE JR (DC)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:
Last Name:GIOVATTO
Suffix:JR
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 1:615 WYCKOFF AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-1353
Mailing Address - Country:US
Mailing Address - Phone:973-865-5430
Mailing Address - Fax:
Practice Address - Street 1:615 WYCKOFF AVE STE 1
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481
Practice Address - Country:US
Practice Address - Phone:973-865-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9354111N00000X, 111NS0005X
NJ38MC00597000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician