Optimal Health Chiropractic Center, Pa | |
191 Woodport Rd. Unit 13a, Sparta, NJ 07871-2610 | |
(973) 729-8884 | |
(973) 729-8406 |
Full Name | Optimal Health Chiropractic Center, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 191 Woodport Rd. Unit 13a, Sparta, 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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1770701310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | MC04102 (New Jersey) | Primary |
Provider Name | Ronald J Santangelo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891846291 PECOS PAC ID: 1951465848 Enrollment ID: I20090121000224 |
Mailing Address | Practice Location Address |
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Optimal Health Chiropractic Center, Pa 191 Woodport Rd. Unit 13a, Sparta, NJ 07871-2610 Ph: (973) 729-8884 | Optimal Health Chiropractic Center, Pa 191 Woodport Rd. Unit 13a, Sparta, NJ 07871-2610 Ph: (973) 729-8884 |
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