MEDICARE: DR. PETER J. HAIGNEY D.C.

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	111NX0800X	Orthopedic Chiropractor	MCOO1767	NJ

General Provider Information

NPI Number	:	1982601845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER J. HAIGNEY D.C.

Provider Business Mailing Address
First Line	:	70 PARK ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-5907
Country	:	US
Telephone Number	:	973-746-7766
Fax Number	:	973-746-7885

Provider Business Practice Location Address
First Line	:	70 PARK ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-5907
Country	:	US
Telephone Number	:	973-746-7766
Fax Number	:	973-746-7885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	01/21/2009

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