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Organization
BERGENLINE SPINE AND HEALTHCARE CENTER PC
Active
Organization
BERGENLINE SPINE AND HEALTHCARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WOHL D.C. (MANAGER)
(201) 758-0099
Entity
Organization
Contact information
Practice address
6000 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1414
(201) 758-0099
(201) 758-2992
Mailing address
PO BOX 5262, WEST NEW YORK, NJ 07093-9262
(201) 758-0099
(201) 758-2992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
25MZ00059400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
40QA00729000
NJ
Other
Enumeration date
02/10/2012
Last updated
05/24/2013
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