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Contact Information

BLOOMFIELD TOTAL HEALTH CENTER
1129 BROAD ST
BLOOMFIELD, NJ07003-2918
 Phone: 973-338-3620
 Fax: 973-338-4849
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BLOOMFIELD TOTAL HEALTH CENTER

NPI Number 1639105380
LBN Legal business name BLOOMFIELD TOTAL HEALTH CENTER
Authorized official MICHAEL CREDICO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2006
Last updated 01/29/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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