Individual
DR. GEORGE J LUBERTAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
39 MEADOW RD, RUTHERFORD, NJ 07070-2009
(201) 896-0068
(201) 842-1709
Mailing address
P.O. BOX 1727, RUTHERFORD, NJ 07070-2009
(201) 896-0068
(201) 842-1709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00354700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004369333
AETNA
—
01
—
01095111
AMERIGROUP AGP
—
05
—
1088009
—
NJ
01
—
P634221
OXFORD
—
01
—
X5732
EMPIRE BC/BS
NY
Enumeration date
02/12/2007
Last updated
01/13/2014
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