| Ron L. Wawrzyniak D.c. P.a. | |
|
32 Roosevelt Place Somerville NJ 08876 | |
| (908) 722-0500 | |
| Not Available |
| Full Name | Ron L. Wawrzyniak D.c. P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 32 Roosevelt Place, Somerville, New Jersey |
| Authorized Official Name and Position | Ron Wawrzyniak (PRESIDENT) |
| Authorized Official Contact | 9087220500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ron L. Wawrzyniak D.c. P.a. 32 Roosevelt Place Somerville NJ 08876 Ph: (908) 722-0500 | Ron L. Wawrzyniak D.c. P.a. 32 Roosevelt Place Somerville NJ 08876 Ph: (908) 722-0500 |
| NPI Number | 1790027407 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 8426294430 |
|---|---|
| Medicare Enrollment ID | O20130418000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790027407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 38MC00322700 (New Jersey) | Primary |
| Provider Name | Ron L Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811972748 PECOS PAC ID: 2961648977 Enrollment ID: I20130418000081 |
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