| Garden State Spinal Care | |
|
4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 | |
| (732) 570-8491 | |
| (973) 860-2434 |
| Full Name | Garden State Spinal Care |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4 Brighton Rd Ste 304, Clifton, 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 |
|---|---|---|---|
| 1861907180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00655600 (New Jersey) | Primary |
| Provider Name | Jennifer C Dour |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124352265 PECOS PAC ID: 7416094230 Enrollment ID: I20091028000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Spinal Care 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 Ph: () - | Garden State Spinal Care 4 Brighton Rd Ste 304, Clifton, NJ 07012-1665 Ph: (732) 570-8491 |
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