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Organization
THE COLLABORATIVE HEALTHCARE GROUP OF NJ
Active
Organization
THE COLLABORATIVE HEALTHCARE GROUP OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SCOTT MACNIVEN MBA (CEO)
(877) 328-7112
Entity
Organization
Contact information
Practice address
1598 RTE 130, NORTH BRUNSWICK, NJ 08902-3040
(877) 328-7112
(877) 260-9979
Mailing address
5 STONE HILL RD, MANAHAWKIN, NJ 08050-5618
(877) 328-7112
(877) 260-9979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
—
—
213E00000X
Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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