Organization
PREMIER MEDICAL AND SPORTS REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK A DEBIASI DC (PRESIDENT)
(973) 713-9712
Entity
Organization
Contact information
Practice address
121 MAIN ST, PRINCETON, NJ 08540-5755
(973) 713-9712
Mailing address
PO BOX 510, CHATHAM, NJ 07928-0510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC004002800
NJ
2084N0400X
Neurology Physician
47709
NJ
213E00000X
Podiatrist
25MD002672
NJ
225100000X
Physical Therapist
4DQA00915800
NJ
Other
Enumeration date
03/17/2010
Last updated
03/25/2010
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