Organization
SYNERGY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN T MINGOIA DC (PRESIDENT)
(201) 436-0911
Entity
Organization
Contact information
Practice address
777 AVENUE C, BAYONNE, NJ 07002-2844
(201) 436-0911
Mailing address
777 AVENUE C, BAYONNE, NJ 07002-2844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00645300
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MB08234500
NJ
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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