| Prime Spinecare | |
|
118 Broad Ave Ste N9, Palisades Park, NJ 07650-2721 | |
| (201) 482-0439 | |
| (201) 482-8703 |
| Full Name | Prime Spinecare |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 118 Broad Ave Ste N9, Palisades Park, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215395132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00733100 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Spinecare 118 Broad Ave Ste N9, Palisades Park, NJ 07650-2721 Ph: (201) 482-0439 | Prime Spinecare 118 Broad Ave Ste N9, Palisades Park, NJ 07650-2721 Ph: (201) 482-0439 |
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Joseph Sungjae Park, Chiropractor Medicare: Medicare Enrolled Practice Location: 17 Brinkerhoff Ter # 202, Palisades Park, NJ 07650 Phone: 201-313-1212 | |
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