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NPI Code Detail

MEDICARE: BRIANA KALLIAS

MEDICARE: BRIANA KALLIAS
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
1111N00000XChiropractor38MC00761400NJ

General Provider Information

NPI Number : 1861038358
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA KALLIAS
Provider Business Mailing Address
First Line : 782 BREWERS BRIDGE RD
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1104 ARNOLD AVE
Second Line :
City : POINT PLEASANT BORO
State : NJ
Zip : 08742-2388
Country : US
Telephone Number : 732-714-0070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2019
Last Update Date : 11/20/2019

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Directions to “ BRIANA KALLIAS ” Practice Location

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