Park Place Chiropractic And Rehabilitation | |
17 Academy St, Newark, NJ 07102-2923 | |
(973) 824-2225 | |
(973) 824-5454 |
Full Name | Park Place Chiropractic And Rehabilitation |
---|---|
Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 17 Academy St, Newark, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285079590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | MC03260 (New Jersey) | Primary |
261Q00000X | Clinic/center | 38MCOO326000 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Park Place Chiropractic And Rehabilitation 17 Academy St, Newark, NJ 07102-2923 Ph: (973) 824-2225 | Park Place Chiropractic And Rehabilitation 17 Academy St, Newark, NJ 07102-2923 Ph: (973) 824-2225 |
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Dr. Gary Stepan Bozian, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 17 Academy St, Suite 602, Newark, NJ 07102 Phone: 973-824-2225 Fax: 973-824-5454 |