| Craig Rallo Chiropractor,llc | |
|
2698 County Rd 516 Ste C, Old Bridge, NJ 08857-2305 | |
| (732) 679-1100 | |
| (732) 679-5770 |
| Full Name | Craig Rallo Chiropractor,llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2698 County Rd 516 Ste C, Old Bridge, 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 |
|---|---|---|---|
| 1114455201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC0062550 (New Jersey) | Primary |
| Provider Name | Craig Rallo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700959368 PECOS PAC ID: 0345279881 Enrollment ID: I20050805000104 |
| Provider Name | Guillerma M Florentino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982763975 PECOS PAC ID: 5092740357 Enrollment ID: I20051025000349 |
| Provider Name | Vini Maroo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245563998 PECOS PAC ID: 4981974490 Enrollment ID: I20170717001117 |
| Provider Name | Frances Scala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033289038 PECOS PAC ID: 7012175722 Enrollment ID: I20170821003403 |
| Provider Name | Diana Hess-fisher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861406761 PECOS PAC ID: 7012960586 Enrollment ID: I20190412001012 |
| Provider Name | Chelsey T Taggart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699325936 PECOS PAC ID: 2264864453 Enrollment ID: I20191108000516 |
| Provider Name | Brianne M Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760152011 PECOS PAC ID: 8820496524 Enrollment ID: I20211011002264 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Rallo Chiropractor,llc 2698 County Rd 516 Ste C, Old Bridge, NJ 08857-2305 Ph: (732) 679-1100 | Craig Rallo Chiropractor,llc 2698 County Rd 516 Ste C, Old Bridge, NJ 08857-2305 Ph: (732) 679-1100 |
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