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NPI Code Detail

MEDICARE: DR. MELISSA LEMAIRE BAUCH-MURPHY D.C.

MEDICARE: DR. MELISSA LEMAIRE BAUCH-MURPHY 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
1111N00000XChiropractor38MC00509300NJ
2111N00000XChiropractorCHIRO005814GA

General Provider Information

NPI Number : 1174617930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA LEMAIRE BAUCH-MURPHY D.C.
Provider Business Mailing Address
First Line : 114 ACKERMAN AVE
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-4202
Country : US
Telephone Number : 201-447-5615
Fax Number : 201-652-9570
Provider Business Practice Location Address
First Line : 385 S MAPLE AVE
Second Line : SUITE 111
City : GLEN ROCK
State : NJ
Zip : 07452-1543
Country : US
Telephone Number : 201-652-9590
Fax Number : 201-652-9570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 10/07/2008

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