# PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC

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

## Provider details

- **NPI number:** 1992352801
- **Authorized official:** DR. SUZANNE M MANZI MD (OWNER / MANAGING MEMBER)
- **Authorized official phone:** (848) 448-7717

## Contact information

- **Practice address:** 903 US HIGHWAY 202 STE 2A, RARITAN, NJ 08869-1449
- **Practice address phone:** (609) 588-8600
- **Practice address fax:** (609) 588-8602
- **Mailing address:** 4126 SOUTHWEST FWY STE 1700, HOUSTON, TX 77027-7317
- **Mailing address phone:** (346) 217-1111
- **Mailing address fax:** (346) 571-2189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 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