Abundant Life Chiropractic Center, Llc | |
248 Edison St, Clifton, NJ 07013-1358 | |
(973) 777-0058 | |
(973) 405-6529 |
Full Name | Abundant Life Chiropractic Center, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 248 Edison St, Clifton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417238742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00576600 (New Jersey) | Primary |
Provider Name | Vincent Malba |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467515908 PECOS PAC ID: 5890965594 Enrollment ID: I20110908001635 |
Mailing Address | Practice Location Address |
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Abundant Life Chiropractic Center, Llc 248 Edison St, Clifton, NJ 07013-1358 Ph: (973) 777-0058 | Abundant Life Chiropractic Center, Llc 248 Edison St, Clifton, NJ 07013-1358 Ph: (973) 777-0058 |
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