Richard C Tashjian, DC | |
530 Main St, Fort Lee, NJ 07024-4506 | |
(201) 592-6200 | |
(201) 592-6401 |
Full Name | Richard C Tashjian |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 530 Main St, Fort Lee, 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 |
---|---|---|---|
1306159462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00259800 (New Jersey) | Primary |
Provider Name | East Coast Spine Joint And Sports Medicine |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194904730 PECOS PAC ID: 2365530938 Enrollment ID: O20071115000011 |
Mailing Address | Practice Location Address |
---|---|
Richard C Tashjian, DC 401 Hasbrouck Blvd, Oradell, NJ 07649-2263 Ph: (201) 592-6200 | Richard C Tashjian, DC 530 Main St, Fort Lee, NJ 07024-4506 Ph: (201) 592-6200 |
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