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Organization
PHYSIQUE LABS
Active
Organization
PHYSIQUE LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM NISSENSOHN (OWNER)
(609) 654-5679
Entity
Organization
Contact information
Practice address
417 STOKES RD STE C, MEDFORD, NJ 08055-8408
(609) 654-5679
Mailing address
417 STOKES RD STE C, MEDFORD, NJ 08055-8408
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/19/2026
Last updated
03/24/2026
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