Organization
ADVANCED SPINE & SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BRONDER D.C. (PRESIDENT)
(973) 851-9188
Entity
Organization
Contact information
Practice address
149 HORSENECK RD, FAIRFIELD, NJ 07004-2306
(973) 851-9188
(201) 228-9980
Mailing address
149 HORSENECK RD, FAIRFIELD, NJ 07004-2306
(973) 851-9188
(201) 228-9980
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
NJ
225100000X
Physical Therapist
—
NJ
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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