# COMMUNITY SPINE & PAIN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215236161
- **Authorized official:** DR. KENNETH LEWANDOWSKI D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (732) 580-4186

## Contact information

- **Practice address:** 833 RTE 37 W, TOMS RIVER, NJ 08755-5038
- **Practice address phone:** (732) 580-4186
- **Mailing address:** 833 RTE 37 W, TOMS RIVER, NJ 08755-5038
- **Mailing address phone:** (732) 580-4186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00479700 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | MB57910 | NJ | Yes |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/17/2011