Laurence M Oliviero, DC | |
550 Newark Avenue, Suite 304, Jersey City, NJ 07306 | |
(201) 624-2111 | |
Not Available |
Full Name | Laurence M Oliviero |
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Gender | Male |
Speciality | Chiropractor |
Location | 550 Newark Avenue, Jersey City, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154427540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00648900 (New Jersey) | Primary |
Provider Name | Key West Chiropractic Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477667129 PECOS PAC ID: 0143228015 Enrollment ID: O20070111000215 |
Mailing Address | Practice Location Address |
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Laurence M Oliviero, DC 550 Newark Avenue, Suite 304, Jersey City, NJ 07306 Ph: (201) 624-2111 | Laurence M Oliviero, DC 550 Newark Avenue, Suite 304, Jersey City, NJ 07306 Ph: (201) 624-2111 |
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