Marshall Chiropractic, L.l.c | |
1195 Main Ave, Clifton, NJ 07011-2252 | |
(973) 772-7676 | |
Not Available |
Full Name | Marshall Chiropractic, L.l.c |
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Type | Facility |
Speciality | Chiropractor |
Location | 1195 Main Ave, Clifton, 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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1023297645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00508700 (New Jersey) | Primary |
Provider Name | James A Marshall |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952406696 PECOS PAC ID: 9133148224 Enrollment ID: I20060207000335 |
Provider Name | Dave Consunji Marcon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932301843 PECOS PAC ID: 7618281163 Enrollment ID: I20150729006962 |
Mailing Address | Practice Location Address |
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Marshall Chiropractic, L.l.c 1195 Main Ave, Clifton, NJ 07011-2242 Ph: (973) 772-7676 | Marshall Chiropractic, L.l.c 1195 Main Ave, Clifton, NJ 07011-2252 Ph: (973) 772-7676 |
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