Organization
BACK PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAIMUNDO MARQUEZ DC (CHIROPRACTOR)
(856) 690-8883
Entity
Organization
Contact information
Practice address
1133 E CHESTNUT AVE, BUILDING 2, VINELAND, NJ 08360-5001
(856) 690-8883
(856) 690-8822
Mailing address
1133 E CHESTNUT AVE, BUILDING 2, VINELAND, NJ 08360-5001
(856) 690-8883
(856) 690-8822
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
38MC00662500
NJ
208D00000X
General Practice Physician
25MA07448700
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2011
Last updated
07/24/2012
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