| Kaiser Fitness And Medispa Llc | |
|
555 Shrewsbury Ave Suite F Shrewsbury NJ 07702-4165 | |
| (732) 758-8251 | |
| (732) 758-8250 |
| Full Name | Kaiser Fitness And Medispa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Shrewsbury Ave, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Brent Kaiser (OWNER) |
| Authorized Official Contact | 7327588251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Fitness And Medispa Llc 555 Shrewsbury Ave Suite F Shrewsbury NJ 07702-4165 Ph: (732) 758-8251 | Kaiser Fitness And Medispa Llc 555 Shrewsbury Ave Suite F Shrewsbury NJ 07702-4165 Ph: (732) 758-8251 |
| NPI Number | 1326427329 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 2264747617 |
|---|---|
| Medicare Enrollment ID | O20150814013316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326427329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather M Chiricolo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1184600595 PECOS PAC ID: 0749200889 Enrollment ID: I20130909000067 |
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