Organization
COMMUNITY SPINE & PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LEWANDOWSKI D.O. (MEDICAL DIRECTOR)
(732) 580-4186
Entity
Organization
Contact information
Practice address
833 RTE 37 W, TOMS RIVER, NJ 08755-5038
(732) 580-4186
Mailing address
833 RTE 37 W, TOMS RIVER, NJ 08755-5038
(732) 580-4186
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00479700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MB57910
NJ
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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