Dr Tyler J Digiovanni, DC | |
70 Schanck Rd Unit East, Freehold, NJ 07728-5309 | |
(732) 330-5305 | |
Not Available |
Full Name | Dr Tyler J Digiovanni |
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Gender | Male |
Speciality | Chiropractor |
Location | 70 Schanck Rd Unit East, Freehold, 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 |
---|---|---|---|
1881426369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00804400 (New Jersey) | Primary |
Provider Name | Thrive Spine And Sports Rehab Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467965368 PECOS PAC ID: 9931462587 Enrollment ID: O20180412000085 |
Mailing Address | Practice Location Address |
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Dr Tyler J Digiovanni, DC 20 Sun Hollow Rd, Howell, NJ 07731-1865 Ph: (732) 330-5305 | Dr Tyler J Digiovanni, DC 70 Schanck Rd Unit East, Freehold, NJ 07728-5309 Ph: (732) 330-5305 |
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