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Organization

PERFORMANCE SPINE & SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER ROSE HEPLER CPC (LEAD FINANCIAL REP)
(346) 308-6741
Entity
Organization

Contact information

Practice address
3705 QUAKERBRIDGE RD STE 206, HAMILTON, NJ 08619-1288
(609) 588-8600
(609) 588-8602
Mailing address
PO BOX 649842, DALLAS, TX 75264-9842
(609) 817-0052
(609) 588-8602

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25MA08436100
NJ
335E00000X
Prosthetic/Orthotic Supplier
25MD00303700
NJ

Other

Enumeration date
12/22/2011
Last updated
07/01/2026
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