# SPINE AND REHABILITATION CENTER OF THE AMBOYS

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

## Provider details

- **NPI number:** 1811441181
- **Authorized official:** DR. MICHAEL LATZA DC (MANAGER)
- **Authorized official phone:** (908) 322-8300

## Contact information

- **Practice address:** 533 NEW BRUNSWICK AVE STE A, PERTH AMBOY, NJ 08861-3657
- **Practice address phone:** (732) 486-8280
- **Mailing address:** 533 NEW BRUNSWICK AVE STE A, PERTH AMBOY, NJ 08861-3657
- **Mailing address phone:** (732) 486-8280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016