New Jersey Spine & Disc Center,llc | |
180 White Rd, Suite 201, Little Silver, NJ 07739-1166 | |
(732) 383-8207 | |
(732) 387-5809 |
Full Name | New Jersey Spine & Disc Center,llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 180 White Rd, Little Silver, 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 |
---|---|---|---|
1821395781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00667900 (New Jersey) | Primary |
Provider Name | Lawrence P Lawicki |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1427269273 PECOS PAC ID: 5193883403 Enrollment ID: I20110217000522 |
Mailing Address | Practice Location Address |
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New Jersey Spine & Disc Center,llc 180 White Rd, Suite 201, Little Silver, NJ 07739-1166 Ph: (732) 383-8207 | New Jersey Spine & Disc Center,llc 180 White Rd, Suite 201, Little Silver, NJ 07739-1166 Ph: (732) 383-8207 |
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