| Providence Chiropractic And Rehab Center | |
|
413 Lakehurst Rd Bldg 2 Toms River NJ 08755-7378 | |
| (609) 626-4008 | |
| Not Available |
| Full Name | Providence Chiropractic And Rehab Center |
|---|---|
| Speciality | Clinic/center |
| Location | 413 Lakehurst Rd Bldg 2, Toms River, New Jersey |
| Authorized Official Name and Position | Manal Mena (PRESIDENT) |
| Authorized Official Contact | 6096264008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Chiropractic And Rehab Center 413 Lakehurst Rd Building 2 Toms River NJ 08755 Ph: (609) 626-4008 | Providence Chiropractic And Rehab Center 413 Lakehurst Rd Bldg 2 Toms River NJ 08755-7378 Ph: (609) 626-4008 |
| NPI Number | 1689065104 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689065104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 38MC00711800 (New Jersey) | Primary |
Benjamin D Lessig Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Commons Way, Bldg B, Toms River, NJ 08755 Phone: 732-281-3590 Fax: 732-281-0054 | |
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