Organization
EAST COAST SPINE JOINT AND SPORTS MEDICINE
Active
Other names
The Spine and Sports Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER J VISCO M.D. (MEDICAL DIRECTOR)
(201) 533-9200
Entity
Organization
Contact information
Practice address
720 MONROE STREET, SUITE C-208, HOBOKEN, NJ 07030-5000
(201) 533-9200
Mailing address
720 MONROE STREET, SUITE C-208, HOBOKEN, NJ 07030-5000
(201) 533-9200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00542700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07808900
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
25MA07808900
NJ
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/31/2007
Last updated
09/19/2022
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