Life Chiropractic Center Of New Jersey Inc | |
8325 Kennedy Blvd, North Bergen, NJ 07047-4205 | |
(201) 861-2025 | |
Not Available |
Full Name | Life Chiropractic Center Of New Jersey Inc |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 8325 Kennedy Blvd, North Bergen, 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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1396922340 | NPI | - | NPPES |
0024457 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | 38MC00622100 (New Jersey) | Primary |
Provider Name | Alejandro M Hernandez |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1326024951 PECOS PAC ID: 0749252849 Enrollment ID: I20040810000231 |
Provider Name | Faisal Hussain |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518979343 PECOS PAC ID: 2668519927 Enrollment ID: I20091020000278 |
Mailing Address | Practice Location Address |
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Life Chiropractic Center Of New Jersey Inc 8325 Kennedy Blvd, North Bergen, NJ 07047-4205 Ph: (201) 861-2025 | Life Chiropractic Center Of New Jersey Inc 8325 Kennedy Blvd, North Bergen, NJ 07047-4205 Ph: (201) 861-2025 |
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