MEDICARE: EASTPOINTE INTEGRATED HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	225100000X	Physical Therapist
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1336349331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTPOINTE INTEGRATED HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2373 HWY 36
Second Line	:
City	:	ATLANTIC HIGHLANDS
State	:	NJ
Zip	:	07716-2560
Country	:	US
Telephone Number	:	732-872-6595
Fax Number	:	732-872-1508

Provider Business Practice Location Address
First Line	:	2373 HIGHWAY 36
Second Line	:
City	:	ATLANTIC HIGHLANDS
State	:	NJ
Zip	:	07716-2532
Country	:	US
Telephone Number	:	732-872-6595
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. JOHN J MAZZELLA
Credential	:	D.C
Telephone Number	:	732-872-6595

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	01/05/2017

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Directions to “EASTPOINTE INTEGRATED HEALTHCARE LLC ” Practice Location

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