# CENTURY MEDICAL GROUP, LLC

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

## Provider details

- **NPI number:** 1700640448
- **Authorized official:** DR. BRUCE JACOBSON DC (MEMBER)
- **Authorized official phone:** (973) 574-2070

## Contact information

- **Practice address:** 30 W CENTURY RD STE 300, PARAMUS, NJ 07652-1435
- **Practice address phone:** (973) 574-2070
- **Practice address fax:** (973) 574-2088
- **Mailing address:** 30 W CENTURY RD STE 300, PARAMUS, NJ 07652-1435
- **Mailing address phone:** (973) 574-2070
- **Mailing address fax:** (973) 574-2088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024