Premier Healthcare Center, Llc | |
39 S Fullerton Ave, Montclair, NJ 07042-6303 | |
(973) 783-1259 | |
(973) 783-1266 |
Full Name | Premier Healthcare Center, Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 39 S Fullerton Ave, Montclair, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760724264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00414900 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Premier Healthcare Center, Llc Po Box 6190, West Orange, NJ 07052-9190 Ph: (973) 783-1259 | Premier Healthcare Center, Llc 39 S Fullerton Ave, Montclair, NJ 07042-6303 Ph: (973) 783-1259 |
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Kimberly G Maziarz-carlucci Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 86 Valley Rd, Montclair, NJ 07042 Phone: 973-744-9880 Fax: 973-744-9883 | |
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