Organization
PRINCETON BRAIN SPINE AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY QUILLE DC (PRESIDENT)
(609) 585-6100
Entity
Organization
Contact information
Practice address
558 LAWRENCE SQUARE BLVD S, LAWRENCEVILLE, NJ 08648-2674
(609) 921-9001
Mailing address
558 LAWRENCE SQUARE BLVD S, LAWRENCEVILLE, NJ 08648-2674
(609) 585-6100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
08/07/2019
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