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Organization
PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC
Active
Organization
PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M MANZI MD (OWNER / MANAGING MEMBER)
(848) 448-7717
Entity
Organization
Contact information
Practice address
903 US HIGHWAY 202 STE 2A, RARITAN, NJ 08869-1449
(609) 588-8600
(609) 588-8602
Mailing address
4126 SOUTHWEST FWY STE 1700, HOUSTON, TX 77027-7317
(346) 217-1111
(346) 571-2189
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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