| Chiromed-21pc | |
|
880 Montua Pike, Unit C, Woodbury Heights, NJ 08097 | |
| (856) 718-9922 | |
| (856) 848-8208 |
| Full Name | Chiromed-21pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 880 Montua Pike, Woodbury Heights, 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 |
|---|---|---|---|
| 1659311330 | NPI | - | NPPES |
| 7077904 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 38MC00444700 (New Jersey) | Primary |
| Provider Name | Frank R Gasparovic |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144215450 PECOS PAC ID: 1951596824 Enrollment ID: I20101117000917 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiromed-21pc P.o. Box 5581, Deptford, NJ 08096 Ph: (856) 718-9922 | Chiromed-21pc 880 Montua Pike, Unit C, Woodbury Heights, NJ 08097 Ph: (856) 718-9922 |
Timothy Leonard Probe, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 740 Mantua Pike, Woodbury Heights, NJ 08097 Phone: 856-845-0360 Fax: 856-845-1881 | |
Dennis T Casterline, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 740 Mantua Pike, Woodbury Heights, NJ 08097 Phone: 856-853-1114 Fax: 856-845-1881 | |
Mrs. Christine L. Probe, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 740 Mantua Pike, Woodbury Heights, NJ 08097 Phone: 856-845-0360 | |
Affiliated Physicians Network, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 740 Mantua Pike, Woodbury Heights, NJ 08097 Phone: 856-845-0360 Fax: 856-845-1881 | |
Dr. Brian Gemberling, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 740 Mantua Pike, Woodbury Heights, NJ 08097 Phone: 856-845-0360 Fax: 856-845-1881 | |
Dr. Michael Jay Liberman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 722 Mantua Pike, Suite 8, Woodbury Heights, NJ 08097 Phone: 856-384-1333 Fax: 856-384-1297 |