| Park Place Chiropractic And Rehabilitation | |
|
17 Academy St Newark NJ 07102-2923 | |
| (973) 824-2225 | |
| (973) 824-5454 |
| Full Name | Park Place Chiropractic And Rehabilitation |
|---|---|
| Speciality | Chiropractor - Rehabilitation |
| Location | 17 Academy St, Newark, New Jersey |
| Authorized Official Name and Position | Gary Stepan Bozian (PRESIDENT) |
| Authorized Official Contact | 9738242225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Place Chiropractic And Rehabilitation 17 Academy St Newark NJ 07102-2923 Ph: (973) 824-2225 | Park Place Chiropractic And Rehabilitation 17 Academy St Newark NJ 07102-2923 Ph: (973) 824-2225 |
| NPI Number | 1285079590 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 38MCOO326000 (New Jersey) | Secondary |
| 111NR0400X | Chiropractor - Rehabilitation | MC03260 (New Jersey) | Primary |
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