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NPI Code Detail

MEDICARE: SAINT CHIROPRACTIC CENTER PC

MEDICARE: SAINT CHIROPRACTIC CENTER PC
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
1207R00000XInternal Medicine Physician
2225100000XPhysical Therapist40QA00892000NJ
3111N00000XChiropractor38MC00472600NJ

General Provider Information

NPI Number : 1346320629
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT CHIROPRACTIC CENTER PC
Provider Business Mailing Address
First Line : 305 W GRAND AVE
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-1813
Country : US
Telephone Number : 201-391-8282
Fax Number : 201-391-8299
Provider Business Practice Location Address
First Line : 305 W GRAND AVE STE 500
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-1813
Country : US
Telephone Number : 201-391-8282
Fax Number : 201-391-8299
Authorized Official
Title or Position : INSURANCE LIAISON
Name : MARITZA ELS
Credential :
Telephone Number : 201-326-4791
Provider Enumeration Date : 10/17/2006
Last Update Date : 10/02/2020

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Directions to “SAINT CHIROPRACTIC CENTER PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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