Lafayette Street Chiropractic Center Pc | |
123 Clifford St., Ste 105, Newark, NJ 07105 | |
(973) 466-3810 | |
Not Available |
Full Name | Lafayette Street Chiropractic Center Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 123 Clifford St., Ste 105, Newark, 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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1942237995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00539100 (New Jersey) | Primary |
Provider Name | Jesse J Burrini |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457388381 PECOS PAC ID: 0042229148 Enrollment ID: I20060418000677 |
Mailing Address | Practice Location Address |
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Lafayette Street Chiropractic Center Pc 123 Clifford Street, Suite 105, Newark, NJ 07105 Ph: (973) 466-3810 | Lafayette Street Chiropractic Center Pc 123 Clifford St., Ste 105, Newark, NJ 07105 Ph: (973) 466-3810 |
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