| Active Release & Chiropractic Center Llc | |
|
3350 Hwy 138 Ste 227, Wall Township, NJ 07719-9694 | |
| (732) 280-1800 | |
| (732) 280-2323 |
| Full Name | Active Release & Chiropractic Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3350 Hwy 138 Ste 227, Wall Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417575150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Anthony J Criscuolo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801965363 PECOS PAC ID: 9234180704 Enrollment ID: I20050202000668 |
| Provider Name | Derek A Van Benthuysen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376604728 PECOS PAC ID: 8224061627 Enrollment ID: I20050919000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Release & Chiropractic Center Llc 3350 Hwy 138 Ste 227, Wall Township, NJ 07719-9694 Ph: (732) 280-1800 | Active Release & Chiropractic Center Llc 3350 Hwy 138 Ste 227, Wall Township, NJ 07719-9694 Ph: (732) 280-1800 |
Thompson Medical And Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1825 Route 35, Wall Township, NJ 07719 Phone: 732-832-7527 | |
Dr. Stephen Richard Bruno, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1985 Route 34 Ste A6, Wall Township, NJ 07719 Phone: 732-345-1377 | |
Derek Andrew Van Benthuysen, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 3350 Highway 138, Ste 227, Wall Township, NJ 07719 Phone: 732-280-1800 | |
Susan H Penczak, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2041 State Route 35, Wall Township, NJ 07719 Phone: 732-974-7022 Fax: 732-974-7023 | |
Dr. Stephen E Defelice Sr., Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1905 Geraldine Ct, Wall Township, NJ 07719 Phone: 732-757-5097 Fax: 732-655-1081 | |
Gaetano A. Ricciardone, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1503 Juliette Dr, Wall Township, NJ 07719 Phone: 551-998-9779 |