Advanced Chiropractic Healthcare, Llc | |
57 Brant Ave, Suite 102, Clark, NJ 07066-1568 | |
(732) 340-1006 | |
(732) 340-1433 |
Full Name | Advanced Chiropractic Healthcare, Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 57 Brant Ave, Clark, 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 |
---|---|---|---|
1750579405 | NPI | - | NPPES |
8320101 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00568300 (New Jersey) | Primary |
Provider Name | Michael Baremboym |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386685428 PECOS PAC ID: 0446218150 Enrollment ID: I20041228000861 |
Mailing Address | Practice Location Address |
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Advanced Chiropractic Healthcare, Llc 57 Brant Ave, Suite 102, Clark, NJ 07066-1568 Ph: (732) 340-1006 | Advanced Chiropractic Healthcare, Llc 57 Brant Ave, Suite 102, Clark, NJ 07066-1568 Ph: (732) 340-1006 |
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Dr. Michael Baremboym, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 57 Brant Ave, Suite 102, Clark, NJ 07066 Phone: 732-340-1006 Fax: 732-340-1433 | |
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