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Organization
BACK AND BODY PAIN RELIEF LLC
Active
Organization
BACK AND BODY PAIN RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN SIVENDRA MD (MANAGING MEMBER)
(908) 325-3000
Entity
Organization
Contact information
Practice address
355 ROUTE 22 STE D, SPRINGFIELD, NJ 07081-3511
(908) 325-3000
(908) 325-3232
Mailing address
355 ROUTE 22 STE D, SPRINGFIELD, NJ 07081-3511
(908) 325-3000
(908) 325-3232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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