Cross River Mill Chiropractic | |
1200 River Ave, Suite 2b, Lakewood, NJ 08701-5657 | |
(732) 370-3300 | |
(732) 370-5499 |
Full Name | Cross River Mill Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 1200 River Ave, Lakewood, 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 |
---|---|---|---|
1497936793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00633000 (New Jersey) | Primary |
Provider Name | Edward Patrick Masterson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275605719 PECOS PAC ID: 6103884671 Enrollment ID: I20041230000103 |
Mailing Address | Practice Location Address |
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Cross River Mill Chiropractic 1200 River Ave, Suite 2b, Lakewood, NJ 08701-5657 Ph: (732) 370-3300 | Cross River Mill Chiropractic 1200 River Ave, Suite 2b, Lakewood, NJ 08701-5657 Ph: (732) 370-3300 |
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