| Maplewood Chiropractic Pc | |
|
36 Lydia Dr, Guttenberg, NJ 07093-8366 | |
| (201) 317-6104 | |
| Not Available |
| Full Name | Maplewood Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 36 Lydia Dr, Guttenberg, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962819607 | NPI | - | NPPES |
| X009462-1 | Other | NJ | NY LICENSE |
| 38MC00553500 | Other | NJ | NJ LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00553500 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maplewood Chiropractic Pc 36 Lydia Dr, Guttenberg, NJ 07093-8366 Ph: (201) 317-6104 | Maplewood Chiropractic Pc 36 Lydia Dr, Guttenberg, NJ 07093-8366 Ph: (201) 317-6104 |
Dr. Nicholas J Cicco, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6805 Bergenline Avenue, Guttenberg, NJ 07093 Phone: 201-869-6886 Fax: 201-869-4602 | |
Dr. Kathryn Mary Lederer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7000 Boulevard E Ste M-9, Guttenberg, NJ 07093 Phone: 201-305-3591 | |
Dominic Mazza, D.C Chiropractor Medicare: Medicare Enrolled Practice Location: 36 Lydia Dr, Guttenberg, NJ 07093 Phone: 201-317-6104 Fax: 201-868-0874 |