| Family Chiropractors Of Montclair Llc | |
|
39 Watchung Plz, Montclair, NJ 07042-4117 | |
| (973) 783-5666 | |
| (973) 783-7209 |
| Full Name | Family Chiropractors Of Montclair Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 39 Watchung Plz, Montclair, 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 |
|---|---|---|---|
| 1861615916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00367800 (New Jersey) | Primary |
| Provider Name | Luis Mizraji |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467521252 PECOS PAC ID: 6709059181 Enrollment ID: I20111031000392 |
| Provider Name | Jayne Wendy Foster-mizraji |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689915159 PECOS PAC ID: 4981986379 Enrollment ID: I20221205002963 |
| Mailing Address | Practice Location Address |
|---|---|
| Family Chiropractors Of Montclair Llc 39 Watchung Plz, Montclair, NJ 07042-4117 Ph: (973) 783-5666 | Family Chiropractors Of Montclair Llc 39 Watchung Plz, Montclair, NJ 07042-4117 Ph: (973) 783-5666 |
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