Scott W Gardner Dc Llc | |
799 Clifton Ave, Clifton, NJ 07013-1815 | |
(973) 614-9256 | |
(973) 614-9258 |
Full Name | Scott W Gardner Dc Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 799 Clifton Ave, Clifton, 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 |
---|---|---|---|
1053680132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Scott Gardner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1740406453 PECOS PAC ID: 0446418271 Enrollment ID: I20120223000912 |
Mailing Address | Practice Location Address |
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Scott W Gardner Dc Llc 799 Clifton Ave, Clifton, NJ 07013-1815 Ph: (973) 614-9256 | Scott W Gardner Dc Llc 799 Clifton Ave, Clifton, NJ 07013-1815 Ph: (973) 614-9256 |
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