Organization
EAST COAST SPINE JOINT AND SPORTS MEDICINE
Active
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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