Organization
HUDSON PREMIER HEALTHCARE PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LATZA DC (MANAGER)
(732) 882-1895
Entity
Organization
Contact information
Practice address
511 WESTMINSTER AVE, ELIZABETH, NJ 07208-2202
(908) 764-7704
Mailing address
511 WESTMINSTER AVE, ELIZABETH, NJ 07208-2202
(908) 764-7704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003949256
NPI
NJ
Enumeration date
04/10/2019
Last updated
04/10/2019
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