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NPI Code Detail

MEDICARE: DR. LAUREN DANIELLE HIRSHBERG DC

MEDICARE:  DR. LAUREN DANIELLE HIRSHBERG  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00452700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1865253OTHERNJAETNA
2P400698OTHERNJOXFORD

General Provider Information

NPI Number : 1093792491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN DANIELLE HIRSHBERG DC
Provider Business Mailing Address
First Line : 426 STATE RT 515
Second Line :
City : VERNON
State : NJ
Zip : 07462-3027
Country : US
Telephone Number : 973-764-5666
Fax Number : 973-764-5778
Provider Business Practice Location Address
First Line : 426 STATE RT 515
Second Line :
City : VERNON
State : NJ
Zip : 07462-3027
Country : US
Telephone Number : 973-764-5666
Fax Number : 973-764-5778
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 07/08/2007

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Directions to “ DR. LAUREN DANIELLE HIRSHBERG DC” Practice Location

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