| Fairfield Wellness And Physical Therapy, Llc | |
|
25 Greenbrook Rd, Fairfield, NJ 07004-3890 | |
| (973) 403-9911 | |
| (973) 403-9912 |
| Full Name | Fairfield Wellness And Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 25 Greenbrook Rd, Fairfield, 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 |
|---|---|---|---|
| 1215206669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00643100 (New Jersey) | Primary |
| 225100000X | Physical Therapist | PT40QA01022800 (New Jersey) | Secondary |
| Provider Name | James C Bonardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023063120 PECOS PAC ID: 1254308414 Enrollment ID: I20040916000124 |
| Provider Name | Sean C Mclaughlin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285658567 PECOS PAC ID: 6608890959 Enrollment ID: I20060125000606 |
| Provider Name | Anthony Michael Goss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003147026 PECOS PAC ID: 3173842143 Enrollment ID: I20150427000100 |
| Provider Name | Kathryn R Zubicki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902442510 PECOS PAC ID: 8527492578 Enrollment ID: I20191227000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Wellness And Physical Therapy, Llc 25 Greenbrook Rd, Fairfield, NJ 07004-3890 Ph: (973) 403-9911 | Fairfield Wellness And Physical Therapy, Llc 25 Greenbrook Rd, Fairfield, NJ 07004-3890 Ph: (973) 403-9911 |
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