| Joseph A. Midili D.c., Inc. | |
|
133 Ganttown Rd Turnersville NJ 08012-1676 | |
| (856) 228-6366 | |
| (856) 228-0803 |
| Full Name | Joseph A. Midili D.c., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 133 Ganttown Rd, Turnersville, New Jersey |
| Authorized Official Name and Position | Joseph Austin Midili (DIRECTOR/CHIROPRACTOR) |
| Authorized Official Contact | 8562286366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A. Midili D.c., Inc. 133 Ganttown Rd Turnersville NJ 08012-1676 Ph: (856) 228-6366 | Joseph A. Midili D.c., Inc. 133 Ganttown Rd Turnersville NJ 08012-1676 Ph: (856) 228-6366 |
| NPI Number | 1922463702 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Medicare PECOS PAC ID | 2668776121 |
|---|---|
| Medicare Enrollment ID | O20160204000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922463702 | NPI | - | NPPES |
| P00613203 | Other | NJ | RAILROAD MEDICARE |
| 4410581 | Other | NJ | AETNA |
| 8210968 | Other | GHI | |
| 1752405 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 38MC00234600 (New Jersey) | Primary |
| Provider Name | Joseph A Midili |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114972445 PECOS PAC ID: 5395932115 Enrollment ID: I20101206001141 |
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