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Organization
KAISER FITNESS AND MEDISPA LLC
Active
Organization
KAISER FITNESS AND MEDISPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT KAISER D.C. (OWNER)
(732) 758-8251
Entity
Organization
Contact information
Practice address
555 SHREWSBURY AVE, SUITE F, SHREWSBURY, NJ 07702-4165
(732) 758-8251
(732) 758-8250
Mailing address
555 SHREWSBURY AVE, SUITE F, SHREWSBURY, NJ 07702-4165
(732) 758-8251
(732) 758-8250
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
05/28/2015
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