Organization
PREMIER BRAIN AND SPINE LLC
Active
Other names
Redefine Healthcare, Mid-Atlantic Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D FREEMAN DO (PART-OWNER: MANAGING MEMBER)
(732) 906-9600
Entity
Organization
Contact information
Practice address
2466 E CHESTNUT AVE STE 2, VINELAND, NJ 08361-8486
(856) 691-2211
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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