Rennes Toussaint, DC | |
128 Ferry St, Newark, NJ 07105-2115 | |
(973) 344-0012 | |
Not Available |
Full Name | Rennes Toussaint |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 128 Ferry St, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710600853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00791500 (New Jersey) | Primary |
Provider Name | Sportsmed Pt Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
Mailing Address | Practice Location Address |
---|---|
Rennes Toussaint, DC 4 Rider Ct, Newark, NJ 07103-3062 Ph: (754) 210-0544 | Rennes Toussaint, DC 128 Ferry St, Newark, NJ 07105-2115 Ph: (973) 344-0012 |
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