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Organization
PERFORMANCE MEDICAL GROUP
Active
Organization
PERFORMANCE MEDICAL GROUP
Active
Other names
Performance Rehabilitation and Regenative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD R. SPIAGGIA DC (MANAGING MEMBER)
(908) 756-2424
Entity
Organization
Contact information
Practice address
119 US HIGHWAY 22, GREEN BROOK, NJ 08812-2147
(908) 756-2424
(908) 546-7879
Mailing address
10 JOHNSTON DR, WATCHUNG, NJ 07069-4905
(908) 756-2424
(908) 756-2447
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0450098918
NJ
Other
Enumeration date
08/24/2016
Last updated
01/10/2017
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