Evan Walter Grunder, DC | |
720 Monroe St Ste C208, Hoboken, NJ 07030-6350 | |
(201) 535-2476 | |
Not Available |
Full Name | Evan Walter Grunder |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 720 Monroe St Ste C208, Hoboken, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467043646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00777800 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sportsmed Pt Llc | 0749535805 | 169 |
Provider Name | East Coast Spine Joint And Sports Medicine |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194904730 PECOS PAC ID: 2365530938 Enrollment ID: O20071115000011 |
Provider Name | Sportsmed Pt Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
Mailing Address | Practice Location Address |
---|---|
Evan Walter Grunder, DC 1555 Ann St, Fort Lee, NJ 07024-2606 Ph: (607) 242-6913 | Evan Walter Grunder, DC 720 Monroe St Ste C208, Hoboken, NJ 07030-6350 Ph: (201) 535-2476 |
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