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Organization
SPINE AND HEALTH CARE CENTER OF THE AMBOYS
Active
Organization
SPINE AND HEALTH CARE CENTER OF THE AMBOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN LATZA DC (PARTNER)
(732) 468-8280
Entity
Organization
Contact information
Practice address
533B NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3657
(732) 468-8280
(732) 468-8794
Mailing address
533B NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3657
(732) 468-8280
(732) 468-8794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003949256
NPI
NJ
01
—
1205056108
NPI
NJ
01
—
1619036738
NPI
NJ
01
—
1780709469
NPI
NJ
01
—
1841447380
NPI
NJ
Enumeration date
11/13/2013
Last updated
11/13/2013
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