| The Chiropractic Source Pc | |
|
388 Pompton Ave, Cedar Grove, NJ 07009-1814 | |
| (973) 228-0500 | |
| (973) 228-0501 |
| Full Name | The Chiropractic Source Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 388 Pompton Ave, Cedar Grove, 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 |
|---|---|---|---|
| 1174756589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00676300 (New Jersey) | Primary |
| Provider Name | Marco F Ferrucci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902037120 PECOS PAC ID: 7416094321 Enrollment ID: I20091027000013 |
| Mailing Address | Practice Location Address |
|---|---|
| The Chiropractic Source Pc 388 Pompton Ave, Cedar Grove, NJ 07009-1814 Ph: (973) 228-0500 | The Chiropractic Source Pc 388 Pompton Ave, Cedar Grove, NJ 07009-1814 Ph: (973) 228-0500 |
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