| Mr Samuel Prata, DPT | |
|
275 Chestnut St # 169, Newark, NJ 07105-1570 | |
| (973) 465-4410 | |
| Not Available |
| Full Name | Mr Samuel Prata |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Rehabilitation |
| Location | 275 Chestnut St # 169, Newark, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487217238 | NPI | - | NPPES |
| SAMUEL8 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | FEF417A (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Samuel Prata, DPT Manufacturers Pl # 2, 1, Newark, NJ 07105 Ph: (973) 465-4410 | Mr Samuel Prata, DPT 275 Chestnut St # 169, Newark, NJ 07105-1570 Ph: (973) 465-4410 |
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