| Joseph Licitra Dc Llc | |
|
300 Broadacres Dr Ste 126a, Bloomfield, NJ 07003-3153 | |
| (973) 470-0632 | |
| (973) 893-8259 |
| Full Name | Joseph Licitra Dc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 300 Broadacres Dr Ste 126a, Bloomfield, 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 |
|---|---|---|---|
| 1902520109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Joseph Licitra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891795514 PECOS PAC ID: 6204800279 Enrollment ID: I20040825000034 |
| Provider Name | Neal Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104248350 PECOS PAC ID: 9739484601 Enrollment ID: I20160302000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Licitra Dc Llc 300 Broadacres Dr Ste 126a, Bloomfield, NJ 07003-3153 Ph: (973) 470-0632 | Joseph Licitra Dc Llc 300 Broadacres Dr Ste 126a, Bloomfield, NJ 07003-3153 Ph: (973) 470-0632 |
Dr. Anne E Coffey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1129 Broad St, Bloomfield, NJ 07003 Phone: 973-338-3620 Fax: 973-338-4849 | |
Dr. Vincent Giro Caruso, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 27 West St, Suite 2f, Bloomfield, NJ 07003 Phone: 973-489-7484 Fax: 973-680-0079 | |
Bloomfield Spine & Rehabilitation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1255 Broad St, Suite 207, Bloomfield, NJ 07003 Phone: 973-233-7104 | |
Dr. Ronald Patrick Dellanno, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 532 Broad St, Bloomfield, NJ 07003 Phone: 973-429-9650 Fax: 973-743-9693 | |
Robert Rosania Jr., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16 Watsessing Ave, Bloomfield, NJ 07003 Phone: 973-768-3651 | |
Dr. Donald M Castellaro, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1145 Broad St, Bloomfield, NJ 07003 Phone: 973-338-0093 Fax: 973-338-3415 | |
Advance Rehab Services Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 206 Belleville Ave, Suite 201, Bloomfield, NJ 07003 Phone: 973-743-9700 Fax: 973-743-9730 |