Organization
CENTRAL JERSEY MEDICAL & CONSULTING, LLC
Active
Other names
Banda chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALDINE MARIE BANDA D.C. (MEMBER/OWNER)
(908) 462-2986
Entity
Organization
Contact information
Practice address
230 CENTENNIAL AVE, CRANFORD, NJ 07016-3137
(908) 821-5390
Mailing address
760 RAVINE ROAD, PLAINFIELD, NJ 07062-3171
(908) 462-2986
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
38MC0274700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196244
MEDICARE
NJ
Enumeration date
12/17/2012
Last updated
12/17/2012
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