Organization
PREMIER BRAIN AND SPINE LLC
Active
Other names
GRAU ORTHOPAEDICS, REDEFINE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC D FREEMAN DO (PART-OWNER; MANAGING MEMBER)
(732) 906-9600
Entity
Organization
Contact information
Practice address
146 N STATE RT 17 STE 2, HACKENSACK, NJ 07601-1071
(732) 906-9600
(833) 974-2196
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
01/28/2025
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