Dale Family Chiropractic Llc | |
666 Godwin Ave Ste 110, Midland Park, NJ 07432-1463 | |
(201) 444-3004 | |
Not Available |
Full Name | Dale Family Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 666 Godwin Ave Ste 110, Midland Park, 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 |
---|---|---|---|
1932866670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jonathan Dale |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679987614 PECOS PAC ID: 7719378728 Enrollment ID: I20211230001824 |
Mailing Address | Practice Location Address |
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Dale Family Chiropractic Llc 6 Stony Hill Ct, Butler, NJ 07405-1936 Ph: (201) 919-1073 | Dale Family Chiropractic Llc 666 Godwin Ave Ste 110, Midland Park, NJ 07432-1463 Ph: (201) 444-3004 |
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