| Dr Thomas Joseph Sidoti, DC | |
|
180 Lexington Ave, Passaic, NJ 07055-6205 | |
| (973) 773-2244 | |
| (973) 472-8577 |
| Full Name | Dr Thomas Joseph Sidoti |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 180 Lexington Ave, Passaic, 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 |
|---|---|---|---|
| 1194770909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00292200 (New Jersey) | Primary |
| Provider Name | Tjs Chiropractic, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033483680 PECOS PAC ID: 9638338619 Enrollment ID: O20120312000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Joseph Sidoti, DC 180 Lexington Ave, Passaic, NJ 07055-6205 Ph: (973) 773-2244 | Dr Thomas Joseph Sidoti, DC 180 Lexington Ave, Passaic, NJ 07055-6205 Ph: (973) 773-2244 |
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