Organization
OLD BRIDGE SPINE & WELLNESS CENTER,PA
Active
Parent organization
OLD BRIDGE SPINE AND WELLNESS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD BRIDGE SPINE AND WELLNESS PA
Authorized official
MRS. YAMILIA C NELSON (BILLING COORDINATOR)
(732) 320-6285
Entity
Organization
Contact information
Practice address
210 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
(732) 414-2700
Mailing address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
(732) 374-9864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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