Northeastern Spinal Health And Rehabilitation Llc | |
1037 Route 46 Ste 203, Clifton, NJ 07013-2459 | |
(973) 812-0202 | |
(973) 812-0505 |
Full Name | Northeastern Spinal Health And Rehabilitation Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1037 Route 46 Ste 203, 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 |
---|---|---|---|
1265463830 | NPI | - | NPPES |
60192385 | Other | NJ | NJ HEALTH PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00628700 (New Jersey) | Primary |
Provider Name | Michael R Czupak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205883600 PECOS PAC ID: 5193726891 Enrollment ID: I20070124000006 |
Mailing Address | Practice Location Address |
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Northeastern Spinal Health And Rehabilitation Llc 1037 Route 46 Ste 203, Clifton, NJ 07013-2459 Ph: (973) 812-0202 | Northeastern Spinal Health And Rehabilitation Llc 1037 Route 46 Ste 203, Clifton, NJ 07013-2459 Ph: (973) 812-0202 |
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