# PERFORMANCE MEDICAL GROUP OF BRANCHBURG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Performance Rehabilitation & Regenerative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679075642
- **Authorized official:** RONALD SPIAGGIA DC (CLINIC DIRECTOR/ OWNER)
- **Authorized official phone:** (908) 756-2424

## Contact information

- **Practice address:** 3150 US HIGHWAY 22, BRANCHBURG, NJ 08876-3595
- **Practice address phone:** (908) 756-2424
- **Practice address fax:** (908) 546-7978
- **Mailing address:** 1011 US HIGHWAY 22 STE 203, BRIDGEWATER, NJ 08807-2979
- **Mailing address phone:** (908) 756-2424
- **Mailing address fax:** (908) 450-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 04/21/2021