Mrs Jayne Wendy Foster-mizraji, DC | |
39 Watchung Plz, Montclair, NJ 07042-4117 | |
(973) 783-5666 | |
(973) 783-7209 |
Full Name | Mrs Jayne Wendy Foster-mizraji |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 39 Watchung Plz, Montclair, 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 |
---|---|---|---|
1689915159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00344500 (New Jersey) | Primary |
Provider Name | Family Chiropractors Of Montclair Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861615916 PECOS PAC ID: 9537332911 Enrollment ID: O20111031000373 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jayne Wendy Foster-mizraji, DC 39 Watchung Plz, Montclair, NJ 07042-4117 Ph: (973) 783-5666 | Mrs Jayne Wendy Foster-mizraji, DC 39 Watchung Plz, Montclair, NJ 07042-4117 Ph: (973) 783-5666 |
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