Organization
BACK AND BODY PAIN RELIEF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAN SIVENDRA MD (MANAGING MEMBER)
(908) 325-3000
Entity
Organization
Contact information
Practice address
355 ROUTE 22 STE D, SPRINGFIELD, NJ 07081-3511
(908) 325-3000
(908) 325-3232
Mailing address
355 ROUTE 22 STE D, SPRINGFIELD, NJ 07081-3511
(908) 325-3000
(908) 325-3232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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