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Organization

ADVANCED SPINE CARE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL A. MENDILLO (OFFICE MANAGER)
(732) 741-5085
Entity
Organization

Contact information

Practice address
700 RAHWAY AVE, 1ST FLOOR, UNION, NJ 07083-6634
(732) 688-1991
Mailing address
700 RAHWAY AVE, 1ST FLOOR, UNION, NJ 07083-6634
(908) 688-1991

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
QA001535
NJ

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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