| Shade Chiropractic, Llc | |
|
43 Main St, Farmingdale, NJ 07727 | |
| (732) 751-9500 | |
| (732) 751-9516 |
| Full Name | Shade Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 43 Main St, Farmingdale, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215473871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00554600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shade Chiropractic, Llc 43 Main St, Farmingdale, NJ 07727-1340 Ph: (732) 751-9500 | Shade Chiropractic, Llc 43 Main St, Farmingdale, NJ 07727 Ph: (732) 751-9500 |
Brian R Shade, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 43 Main St, Farmingdale, NJ 07727 Phone: 732-751-9500 | |
Christopher Russo, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 19 Main St, Farmingdale, NJ 07727 Phone: 908-216-7094 |