MEDICARE: DR. DENNIS J BARTECK D.C.

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
1	111N00000X	Chiropractor	X1101990-1	NY
2	111N00000X	Chiropractor	38MC00498700	NJ

General Provider Information

NPI Number	:	1396785499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS J BARTECK D.C.

Provider Business Mailing Address
First Line	:	71 UNION AVE FL 2
Second Line	:
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1274
Country	:	US
Telephone Number	:	201-491-6970
Fax Number	:	973-239-4050

Provider Business Practice Location Address
First Line	:	71 UNION AVE FL 2
Second Line	:
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1274
Country	:	US
Telephone Number	:	201-491-6970
Fax Number	:	973-239-4050

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/19/2024

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