| Luciano Diaz-tairovich, LMT | |
|
2 E Blackwell St Ste 15, Dover, NJ 07801-4645 | |
| (908) 220-0732 | |
| (973) 361-1360 |
| Full Name | Luciano Diaz-tairovich |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2 E Blackwell St Ste 15, Dover, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083128649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 18KT00638600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Luciano Diaz-tairovich, LMT 2 E Blackwell St Ste 15, Dover, NJ 07801-4645 Ph: (908) 220-0732 | Luciano Diaz-tairovich, LMT 2 E Blackwell St Ste 15, Dover, NJ 07801-4645 Ph: (908) 220-0732 |
M&h Therapy Inc Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 369 W Blackwell St Unit 1, Dover, NJ 07801 Phone: 646-750-1274 | |
Mrs. Coleen M O'connor, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6-16 E Blackwell St, Dover, NJ 07801 Phone: 201-400-0219 |