Kimberly G Maziarz-carlucci Dc Llc | |
86 Valley Rd, Montclair, NJ 07042-2209 | |
(973) 744-9880 | |
(973) 744-9883 |
Full Name | Kimberly G Maziarz-carlucci Dc Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 86 Valley Rd, 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 |
---|---|---|---|
1124156005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | MC04955 (New Jersey) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Kimberly G Carlucci |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346387438 PECOS PAC ID: 5890899843 Enrollment ID: I20070330000230 |
Mailing Address | Practice Location Address |
---|---|
Kimberly G Maziarz-carlucci Dc Llc 86 Valley Rd, Montclair, NJ 07042-2209 Ph: (973) 744-9880 | Kimberly G Maziarz-carlucci Dc Llc 86 Valley Rd, Montclair, NJ 07042-2209 Ph: (973) 744-9880 |
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