Active NPIIndividual providerSole proprietor

Dr. Gary S Bozian, DC

Chiropractor, Rehabilitation in Newark, New Jersey

NPI Number1104260165
Practice location
17 Academy St, Suite 602, Newark, NJ 07102-2923
Fax
973-824-5454
Last updated
April 22, 2013

Gary Stepan Bozian is a Chiropractor, Rehabilitation based in Newark, NJ. Gary Stepan Bozian practices in Newark, NJ and has the professional credentials of DC. The NPI Number for Gary Stepan Bozian is 1104260165 and holds a License No. Mc03260 (NJ). The current practice location address for Gary Stepan Bozian is 17 Academy St, Suite 602, Newark, NJ 07102-2923 and can be reached out via phone at 973-824-2225 and via fax at 973-824-5454.

Provider Profile Details

NPI Number
1104260165
Provider Name
Gary Stepan Bozian
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
17 Academy St, Suite 602, Newark, NJ 07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454
Primary Taxonomy
Chiropractor, Rehabilitation · 111NR0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2013
Last Update Date
April 22, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Academy St
Suite 602
Newark, NJ 07102-2923
City
Newark
Zip
07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
17 Academy St
Suite 602
Newark, NJ 07102-2923
City
Newark
State
NJ
Zip
07102-2923
Phone Number
973-824-2225
Fax Number
973-824-5454

License Information

License Number
Mc03260
License State
NJ
Taxonomy
Chiropractor, Rehabilitation · 111NR0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary S Bozian, DC?

The NPI number of Dr. Gary S Bozian, DC is 1104260165. It was assigned on April 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary S Bozian, DC?

Dr. Gary S Bozian, DC is registered under the primary taxonomy Chiropractor, Rehabilitation (code 111NR0400X), licensed in NJ under license number Mc03260.

Where does Dr. Gary S Bozian, DC practice?

The practice location is 17 Academy St, Suite 602, Newark, NJ 07102-2923. The office can be reached at 973-824-2225 (phone) or 973-824-5454 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104260165 directly on the NPPES registry website.

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