Organization
UA MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA CHANDLER (DIRECTOR OFF BILLING AND REVENUE)
(732) 719-7168
Entity
Organization
Contact information
Practice address
300 PERRINE RD, SUITE 333, OLD BRIDGE, NJ 08857
(732) 289-9335
(732) 289-9336
Mailing address
300 PERRINE RD STE 330, OLD BRIDGE, NJ 08857-3629
(732) 719-7168
(908) 300-5152
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA08493700
NJ
Other
Enumeration date
07/06/2015
Last updated
01/14/2022
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