MEDICARE: THOMAS E. MALANGA 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
1	111N00000X	Chiropractor	38MC00256800	NJ

General Provider Information

NPI Number	:	1336272640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E. MALANGA DC

Provider Business Mailing Address
First Line	:	685 BLOOMFIELD AVE
Second Line	:	SUITE 104
City	:	VERONA
State	:	NJ
Zip	:	07044-1600
Country	:	US
Telephone Number	:	973-239-4111
Fax Number	:	973-239-9105

Provider Business Practice Location Address
First Line	:	685 BLOOMFIELD AVE
Second Line	:	SUITE 104
City	:	VERONA
State	:	NJ
Zip	:	07044-1600
Country	:	US
Telephone Number	:	973-239-4111
Fax Number	:	973-239-9105

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

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	03/14/2008

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Directions to “ THOMAS E. MALANGA DC” Practice Location

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