| Chiropractic Source Pc | |
|
110 Bloomfield Ave, Suite B, Caldwell, NJ 07006-5336 | |
| (973) 228-0500 | |
| (973) 228-0501 |
| Full Name | Chiropractic Source Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 110 Bloomfield Ave, Caldwell, 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 |
|---|---|---|---|
| 1174756589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00676300 (New Jersey) | Primary |
| Provider Name | Lisa M Sirkin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720206949 PECOS PAC ID: 1456317072 Enrollment ID: I20041206000853 |
| Provider Name | Marco F Ferrucci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902037120 PECOS PAC ID: 7416094321 Enrollment ID: I20091027000013 |
| Provider Name | Timothy Lyons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720350762 PECOS PAC ID: 3678733557 Enrollment ID: I20120330000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Source Pc 110 Bloomfield Ave, Suite B, Caldwell, NJ 07006-5336 Ph: (973) 228-0500 | Chiropractic Source Pc 110 Bloomfield Ave, Suite B, Caldwell, NJ 07006-5336 Ph: (973) 228-0500 |
Dr. Geoffrey Edward Bossio, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 519 Bloomfield Ave Ste L21, Caldwell, NJ 07006 Phone: 973-228-8600 Fax: 973-228-8600 | |
Dr. James Richard Hubert, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 85 Bloomfield Ave, Caldwell, NJ 07006 Phone: 973-420-9187 | |
Colacurcio Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 85 Bloomfield Ave, Caldwell, NJ 07006 Phone: 973-228-2481 Fax: 973-228-5091 | |
Timothy Lyons D.c. Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 Bloomfield Ave, Suite B, Caldwell, NJ 07006 Phone: 973-228-0500 Fax: 973-228-0501 | |
Dr. Patricia Marie Jamison, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 14 Forest Ave Ste 11, Caldwell, NJ 07006 Phone: 862-210-8994 | |
Colacurcio Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 85 Bloomfield Ave, Caldwell, NJ 07006 Phone: 973-228-2481 |