| Gibbstown Chiropractic Center, Inc. | |
|
360 E Broad St, Gibbstown, NJ 08027-1470 | |
| (856) 423-3899 | |
| (856) 423-5450 |
| Full Name | Gibbstown Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 360 E Broad St, Gibbstown, 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 |
|---|---|---|---|
| 1235327081 | NPI | - | NPPES |
| 2096200 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MCO3280 (New Jersey) | Primary |
| Provider Name | Blaise Glodowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306984034 PECOS PAC ID: 3476633371 Enrollment ID: I20080104000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Gibbstown Chiropractic Center, Inc. 360 E Broad St, Gibbstown, NJ 08027-1470 Ph: (856) 423-3899 | Gibbstown Chiropractic Center, Inc. 360 E Broad St, Gibbstown, NJ 08027-1470 Ph: (856) 423-3899 |
Dr. Blaise K. Glodowski, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 360 E Broad St, Gibbstown, NJ 08027 Phone: 856-423-3899 Fax: 856-423-5450 | |
Karen Lynn Rizzo, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 401 Harmony Rd, Suite 25, Gibbstown, NJ 08027 Phone: 856-224-0300 Fax: 856-224-1412 |