Organization
APEX SPINE AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISHLA REDDY KANTHALA D.O. (OWNER)
(732) 692-0542
Entity
Organization
Contact information
Practice address
1692 OAK TREE ROAD, EDISON, NJ 08820
(732) 343-6544
(732) 906-3675
Mailing address
1692 OAK TREE ROAD, EDISON, NJ 08820
(732) 343-6544
(732) 906-3675
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB10244400
NJ
Other
Enumeration date
06/27/2018
Last updated
07/31/2018
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