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NPI Code Detail

MEDICARE: ADVANCED PERFORMANCE CHIROPRACTIC & REHAB CENTER LLC

MEDICARE: ADVANCED PERFORMANCE CHIROPRACTIC & REHAB CENTER 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
1111NR0400XRehabilitation ChiropractorMC3736NJ

General Provider Information

NPI Number : 1619013042
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PERFORMANCE CHIROPRACTIC & REHAB CENTER LLC
Provider Business Mailing Address
First Line : 1 PLAZA LN
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1829
Country : US
Telephone Number : 201-825-2900
Fax Number : 201-825-1804
Provider Business Practice Location Address
First Line : 1 PLAZA LN
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-1829
Country : US
Telephone Number : 201-825-2900
Fax Number : 201-825-1804
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD PALAZZO
Credential : DC
Telephone Number : 201-825-2900
Provider Enumeration Date : 01/30/2007
Last Update Date : 04/20/2008

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Directions to “ADVANCED PERFORMANCE CHIROPRACTIC & REHAB CENTER LLC ” Practice Location

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