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Individual

DR. MICHAEL CHARLES IBERER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
170 CHANGEBRIDGE RD, UNIT B-1, MONTVILLE, NJ 07045-9115
(973) 575-1950
(973) 575-0730
Mailing address
170 CHANGEBRIDGE RD, UNIT B-1, MONTVILLE, NJ 07045-9115
(973) 575-1950
(973) 575-0730

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00223000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1031766
AMERICAN SPECIALTY
NJ
01
107614
UNITED HEALTHCARE
NJ
05
1830007
NJ
01
2425463000
AMERIHEALTH
NJ
01
33029
MASTERCARE
NJ
01
4477196
AETNA TRADITIONAL
NJ
01
661788
ACN GROUP
NJ
01
799859
AETNA HMO
NJ
01
P1224768
OXFORD HEALTH
NJ
Enumeration date
06/05/2006
Last updated
12/02/2008
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