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NPI Code Detail

MEDICARE: CHIRO-ROW HEALTH CONSORTIUM, LLC

MEDICARE: CHIRO-ROW HEALTH CONSORTIUM, LLC
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
1111N00000XChiropractorMC005961NJ

General Provider Information

NPI Number : 1376761213
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIRO-ROW HEALTH CONSORTIUM, LLC
Provider Business Mailing Address
First Line : 413 WASHINGTON AVE
Second Line : PO BOX 692
City : BELLEVILLE
State : NJ
Zip : 07109-2618
Country : US
Telephone Number : 862-452-0031
Fax Number :
Provider Business Practice Location Address
First Line : 123 MILLIGAN PL
Second Line : A-3
City : SOUTH ORANGE
State : NJ
Zip : 07079-1928
Country : US
Telephone Number : 862-452-0031
Fax Number :
Authorized Official
Title or Position : OWNER-MANAGER
Name : DR. ROBIN WILLIAMS
Credential : D.C.
Telephone Number : 862-452-0031
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “CHIRO-ROW HEALTH CONSORTIUM, LLC ” Practice Location

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