South Jersey Spine Center | |
133-b Jackson Rd, Medford, NJ 08055 | |
(609) 654-1330 | |
(609) 714-1612 |
Full Name | South Jersey Spine Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 133-b Jackson Rd, Medford, 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 |
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1376888941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38MC00557400 (New Jersey) | Primary |
Provider Name | Michael Lanzilotta |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932148533 PECOS PAC ID: 0547226011 Enrollment ID: I20041221000569 |
Mailing Address | Practice Location Address |
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South Jersey Spine Center 133-b Jackson Rd, Medford, NJ 08055 Ph: (609) 654-1330 | South Jersey Spine Center 133-b Jackson Rd, Medford, NJ 08055 Ph: (609) 654-1330 |
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