Garden State Spinal Care | |
4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 | |
(732) 570-8491 | |
(973) 860-2434 |
Full Name | Garden State Spinal Care |
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Type | Facility |
Speciality | Chiropractor |
Location | 4 Brighton Rd Ste 304, Clifton, 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 |
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1861907180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00655600 (New Jersey) | Primary |
Provider Name | Jennifer C Dour |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1124352265 PECOS PAC ID: 7416094230 Enrollment ID: I20091028000273 |
Mailing Address | Practice Location Address |
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Garden State Spinal Care 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 Ph: () - | Garden State Spinal Care 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 Ph: (732) 570-8491 |
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