| Defabio Spine And Sports Rehab, Llc | |
|
308 Springfield Ave Berkeley Heights NJ 07922-1278 | |
| (908) 771-0220 | |
| Not Available |
| Full Name | Defabio Spine And Sports Rehab, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 Springfield Ave, Berkeley Heights, New Jersey |
| Authorized Official Name and Position | Donald C De Fabio (OWNER) |
| Authorized Official Contact | 9087710220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Defabio Spine And Sports Rehab, Llc 308 Springfield Ave Berkeley Heights NJ 07922-1278 Ph: (908) 771-0220 | Defabio Spine And Sports Rehab, Llc 308 Springfield Ave Berkeley Heights NJ 07922-1278 Ph: (908) 771-0220 |
| NPI Number | 1851675086 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Medicare PECOS PAC ID | 2860622131 |
|---|---|
| Medicare Enrollment ID | O20140306000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851675086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 38MC0282000 (New Jersey) | Primary |
| Provider Name | Donald C Defabio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538175716 PECOS PAC ID: 5496707762 Enrollment ID: I20050215000397 |
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