Organization
JERSEY PREMIER PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MINGOIA D.C. (DIRECTOR)
(551) 697-4134
Entity
Organization
Contact information
Practice address
777 AVENUE C, BAYONNE, NJ 07002-2844
(551) 697-4134
Mailing address
777 AVENUE C, BAYONNE, NJ 07002-2844
(551) 697-4134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00645300
NJ
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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