| Iiiaxlife | |
|
250 Main Street, Suite 6, Madison, NJ 07940 | |
| (973) 292-0222 | |
| (973) 236-0034 |
| Full Name | Iiiaxlife |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 250 Main Street, Madison, 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 |
|---|---|---|---|
| 1497078638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MC05850 (New Jersey) | Primary |
| Provider Name | Tanya M Maximoff |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386762755 PECOS PAC ID: 3870552979 Enrollment ID: I20041005000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Iiiaxlife 250 Main Street, Suite 6, Madison, NJ 07940 Ph: (973) 236-0400 | Iiiaxlife 250 Main Street, Suite 6, Madison, NJ 07940 Ph: (973) 292-0222 |
Dr. Carmen Romano, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 210 Main St, Madison, Madison, NJ 07940 Phone: 973-377-6700 Fax: 973-377-8008 | |
Dr. Stephen George Derosa Jr., DC, ATC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 345 Main St, Madison, NJ 07940 Phone: 973-377-6700 | |
Dr. Gerald F Milazzo, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 210 Main St, Madison, NJ 07940 Phone: 973-377-6700 | |
Dr. James Hollenbach, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 250 Main St, Madison, NJ 07940 Phone: 973-236-0400 Fax: 973-236-0110 | |
Ms. Tanya Maria Maximoff, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 250 Main Street, Suite 6, Madison, NJ 07940 Phone: 973-292-0222 Fax: 973-236-0034 | |
Dr. Joseph Li, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 345 Main St, Madison, NJ 07940 Phone: 973-377-6700 |