Organization
ADVANCED SPINE CARE AND PHYSICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
728 BENNETTS MILLS RD, JACKSON, NJ 08527-3850
(609) 703-5097
Mailing address
728 BENNETTS MILLS RD, JACKSON, NJ 08527-3850
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB08376900
NJ
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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