MEDICARE: PARLIN SPINE & DISC

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	261QH0100X	Health Service Clinic/Center	MCO2257	NJ

General Provider Information

NPI Number	:	1821459678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARLIN SPINE & DISC

Provider Business Mailing Address
First Line	:	3010 BORDENTOWN AVE
Second Line	:	SAYREBRIDGE PROF BUILDING
City	:	PARLIN
State	:	NJ
Zip	:	08859-1181
Country	:	US
Telephone Number	:	732-721-0044
Fax Number	:	732-316-1336

Provider Business Practice Location Address
First Line	:	3010 BORDENTOWN AVE
Second Line	:	SAYREBRIDGE PROF BUILDING
City	:	PARLIN
State	:	NJ
Zip	:	08859-1181
Country	:	US
Telephone Number	:	732-721-0044
Fax Number	:	732-316-1336

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL M NEWCOMER
Credential	:	DC
Telephone Number	:	732-721-0044

Provider Enumeration Date	:	03/08/2016
Last Update Date	:	03/08/2016

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Directions to “PARLIN SPINE & DISC ” Practice Location

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