| Broadway Chiropractic Pc | |
|
628 Broadway, Paterson, NJ 07514-1918 | |
| (973) 222-5107 | |
| Not Available |
| Full Name | Broadway Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 628 Broadway, Paterson, 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 |
|---|---|---|---|
| 1710302401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00590400 (New Jersey) | Primary |
| Provider Name | Robert Tartaglia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376561431 PECOS PAC ID: 3779582507 Enrollment ID: I20061206000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Chiropractic Pc 628 Broadway, Paterson, NJ 07514-1918 Ph: (973) 222-5107 | Broadway Chiropractic Pc 628 Broadway, Paterson, NJ 07514-1918 Ph: (973) 222-5107 |
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