Organization
PLATINUM PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY GOLDENBERG D.C. (CHIROPRACTOR)
(732) 442-5542
Entity
Organization
Contact information
Practice address
809 HIGHWAY 36, UNION BEACH, NJ 07735-3366
(732) 497-0930
(732) 497-0932
Mailing address
809 ROUTE 36, UNION BEACH, NJ 07735-3366
(732) 497-0930
(732) 497-0932
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
38MC00672600
NJ
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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