# PHYSIQUE LABS

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

## Provider details

- **NPI number:** 1922956382
- **Authorized official:** ADAM NISSENSOHN (OWNER)
- **Authorized official phone:** (609) 654-5679

## Contact information

- **Practice address:** 417 STOKES RD STE C, MEDFORD, NJ 08055-8408
- **Practice address phone:** (609) 654-5679
- **Mailing address:** 417 STOKES RD STE C, MEDFORD, NJ 08055-8408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/24/2026