# BACK TO NORMAL II LLC

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

## Provider details

- **NPI number:** 1346751484
- **Authorized official:** JOHN K CZERWEIN JR. MD (MANAGER)
- **Authorized official phone:** (800) 310-7334

## Contact information

- **Practice address:** 53 SADDLE ROWE LN, NORTH SCITUATE, RI 02857-1271
- **Practice address phone:** (401) 749-0539
- **Mailing address:** DEPT \# 880237 PO BOX 29650, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (800) 310-7334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204R00000X | Electrodiagnostic Medicine Physician | MD12647 | RI | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 10/08/2018