| Kimberly G Maziarz-carlucci Dc Llc | |
|
86 Valley Rd, Montclair, NJ 07042-2209 | |
| (973) 744-9880 | |
| (973) 744-9883 |
| Full Name | Kimberly G Maziarz-carlucci Dc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 86 Valley Rd, Montclair, 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 |
|---|---|---|---|
| 1124156005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MC04955 (New Jersey) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Kimberly G Carlucci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346387438 PECOS PAC ID: 5890899843 Enrollment ID: I20070330000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly G Maziarz-carlucci Dc Llc 86 Valley Rd, Montclair, NJ 07042-2209 Ph: (973) 744-9880 | Kimberly G Maziarz-carlucci Dc Llc 86 Valley Rd, Montclair, NJ 07042-2209 Ph: (973) 744-9880 |
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