Provider Demographics
NPI:1578378998
Name:IACONELLI, CHRISTIAN (CHC)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:IACONELLI
Suffix:
Gender:F
Credentials:CHC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:IACONELLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CHC
Mailing Address - Street 1:397 S EGG HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-9442
Mailing Address - Country:US
Mailing Address - Phone:757-297-1860
Mailing Address - Fax:
Practice Address - Street 1:397 S EGG HARBOR RD
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-9442
Practice Address - Country:US
Practice Address - Phone:757-297-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach