| Dr Albin Paul, DC | |
|
605 Valley Rd, Montclair, NJ 07043-1459 | |
| (973) 897-6969 | |
| Not Available |
| Full Name | Dr Albin Paul |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 605 Valley Rd, Montclair, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CHIRO10687 (Georgia) | Secondary |
| 111N00000X | Chiropractor | 38MC00802300 (New Jersey) | Primary |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Albin Paul, DC 605 Valley Rd, Montclair, NJ 07043-1459 Ph: (973) 897-6969 | Dr Albin Paul, DC 605 Valley Rd, Montclair, NJ 07043-1459 Ph: (973) 897-6969 |
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