Provider Demographics
NPI:1609591635
Name:VALENTINO, JOSEPH DANIEL JR (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DANIEL
Last Name:VALENTINO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:161 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1354
Mailing Address - Country:US
Mailing Address - Phone:973-228-5220
Mailing Address - Fax:973-228-7030
Practice Address - Street 1:1255 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5071
Practice Address - Country:US
Practice Address - Phone:201-651-9100
Practice Address - Fax:201-651-1142
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00790000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor