Organization
GARDEN STATE SPINE AND PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ ANDREW GUPTA DC (PARTNER/OWER)
(732) 935-1000
Entity
Organization
Contact information
Practice address
7 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 935-1000
(732) 935-9100
Mailing address
7 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 935-1000
(732) 935-9100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00475800
NJ
111N00000X
Chiropractor
38MC00542300
NJ
171100000X
Acupuncturist
25MZ00035200
NJ
171100000X
Acupuncturist
25MZ00038300
NJ
171100000X
Acupuncturist
25MZ00052600
NM
208100000X
Physical Medicine & Rehabilitation Physician
25MA07807000
NJ
208100000X
Physical Medicine & Rehabilitation Physician
25MB07638100
NJ
208VP0014X
Interventional Pain Medicine Physician
25MA07847300
NJ
225100000X
Physical Therapist
40QA00722100
NJ
225100000X
Physical Therapist
40QA00941400
NJ
225100000X
Physical Therapist
40QA01101200
NJ
225100000X
Physical Therapist
40QA01152600
NJ
225100000X
Physical Therapist
40QA01192300
NJ
225100000X
Physical Therapist
40QA01205100
NJ
Other
Enumeration date
11/01/2006
Last updated
05/25/2011
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