Dr Melina Moaven Shahidi, DC | |
610 Washington Blvd, Jersey City, NJ 07310-1400 | |
(212) 227-3233 | |
Not Available |
Full Name | Dr Melina Moaven Shahidi |
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Gender | Female |
Speciality | Chiropractor - Sports Physician |
Location | 610 Washington Blvd, Jersey City, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194297069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | 38MC00758000 (New Jersey) | Primary |
Provider Name | New Jersey Rehab Experts Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720538929 PECOS PAC ID: 9335404656 Enrollment ID: O20180607000361 |
Mailing Address | Practice Location Address |
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Dr Melina Moaven Shahidi, DC 610 Washington Blvd, Jersey City, NJ 07310-1400 Ph: (212) 227-3233 | Dr Melina Moaven Shahidi, DC 610 Washington Blvd, Jersey City, NJ 07310-1400 Ph: (212) 227-3233 |
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