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Organization

PRECISION SPORTS AND SPINE WOODBRIDGE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA M VIOLA (BILLER)
(732) 772-3703
Entity
Organization

Contact information

Practice address
675 US HIGHWAY 1, ISELIN, NJ 08830-3152
(732) 326-2348
Mailing address
675 US HIGHWAY 1, ISELIN, NJ 08830-3152
(732) 326-2348
(732) 582-6936

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
171100000X
Acupuncturist
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518417971
PHYSICAL THERAPIST
NJ
01
1659886422
ACUPUNCTURIST
NJ
01
1699288696
CHIROPRACTOR
NJ
01
1861837742
PHYSCIAL THERAPY
NJ
Enumeration date
09/24/2018
Last updated
09/24/2018
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