Balducci-granozio D C | |
392 Washington Ave, Belleville, NJ 07109-3251 | |
(973) 450-0086 | |
(973) 450-0086 |
Full Name | Balducci-granozio D C |
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Type | Facility |
Speciality | Chiropractor |
Location | 392 Washington Ave, Belleville, 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 |
---|---|---|---|
1568723310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Anthony Balducci |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952492654 PECOS PAC ID: 0648442483 Enrollment ID: I20111020000323 |
Provider Name | Vanessa Granozio |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386735124 PECOS PAC ID: 3375715154 Enrollment ID: I20111021000093 |
Mailing Address | Practice Location Address |
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Balducci-granozio D C 392 Washington Ave, Belleville, NJ 07109-3251 Ph: (973) 450-0086 | Balducci-granozio D C 392 Washington Ave, Belleville, NJ 07109-3251 Ph: (973) 450-0086 |
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