| Susan H Penczak, DC | |
|
2041 State Route 35, Wall Township, NJ 07719-3539 | |
| (732) 974-7022 | |
| (732) 974-7023 |
| Full Name | Susan H Penczak |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 27 Years |
| Location | 2041 State Route 35, Wall Township, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477584100 | NPI | - | NPPES |
| 2281138000 | Other | AMERIHEALTH PRACTIC HMO I | |
| 2273901000 | Other | AMERIHEALTH INDIV. HMO ID | |
| P3271421 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00554100 (New Jersey) | Primary |
| Provider Name | Penczak Family Chiropractic, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083773923 PECOS PAC ID: 0042270076 Enrollment ID: O20041014000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan H Penczak, DC 2041 State Route 35, Wall Township, NJ 07719-3539 Ph: (732) 974-7022 | Susan H Penczak, DC 2041 State Route 35, Wall Township, NJ 07719-3539 Ph: (732) 974-7022 |
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