| |
6310 Bergenline Ave, West New York, NJ 07093-1620 | |
(201) 869-6220 | |
(201) 869-5145 |
Full Name | |
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Type | Facility |
Speciality | Family Medicine |
Location | 6310 Bergenline Ave, West New York, 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 |
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1639332943 | NPI | - | NPPES |
021032 | Other | NJ | MEDICARE NUMBER |
Provider Name | Daniel W Maenner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134277619 PECOS PAC ID: 0143389932 Enrollment ID: I20081107000770 |
Provider Name | Daniel W Maenner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134277619 PECOS PAC ID: 0143389932 Enrollment ID: I20190717003282 |
Mailing Address | Practice Location Address |
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6310 Bergenline Ave, West New York, NJ 07093-1620 Ph: (201) 869-6220 | 6310 Bergenline Ave, West New York, NJ 07093-1620 Ph: (201) 869-6220 |