# PERFORMANCE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Performance Rehabilitation and Regenative Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750836334
- **Authorized official:** DR. RONALD R. SPIAGGIA DC (MANAGING MEMBER)
- **Authorized official phone:** (908) 756-2424

## Contact information

- **Practice address:** 119 US HIGHWAY 22, GREEN BROOK, NJ 08812-2147
- **Practice address phone:** (908) 756-2424
- **Practice address fax:** (908) 546-7879
- **Mailing address:** 10 JOHNSTON DR, WATCHUNG, NJ 07069-4905
- **Mailing address phone:** (908) 756-2424
- **Mailing address fax:** (908) 756-2447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0450098918 | NJ | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 01/10/2017