North Jersey Whole Health Center, Llc | |
546 Broad Ave Englewood NJ 07631-5011 | |
(201) 569-1444 | |
(201) 569-1445 |
Full Name | North Jersey Whole Health Center, Llc |
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Speciality | Clinic/Center |
Location | 546 Broad Ave, Englewood, New Jersey |
Authorized Official Name and Position | Robert Michael Press (PRESIDENT/OWNER) |
Authorized Official Contact | 2015691444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Jersey Whole Health Center, Llc 546 Broad Ave Englewood NJ 07631-5011 Ph: (201) 569-1444 | North Jersey Whole Health Center, Llc 546 Broad Ave Englewood NJ 07631-5011 Ph: (201) 569-1444 |
NPI Number | 1851676548 |
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Provider Enumeration Date | 10/13/2011 |
Last Update Date | 10/13/2011 |
Medicare PECOS PAC ID | 6608041900 |
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Medicare Enrollment ID | O20111215000317 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851676548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 38MC00695500 (New Jersey) | Primary |
Provider Name | Robert Michael Press |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467737155 PECOS PAC ID: 7416122718 Enrollment ID: I20111215000354 |
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