Organization
BRUNSWICK SPINE CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD VINCENT SOFO D.C. (MEMBER)
(732) 342-9222
Entity
Organization
Contact information
Practice address
251 POWERS ST, NEW BRUNSWICK, NJ 08901-3028
(732) 342-9222
Mailing address
251 POWERS ST, NEW BRUNSWICK, NJ 08901-3028
(732) 342-9222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00374900
NJ
111NS0005X
Sports Physician Chiropractor
38MC00374900
NJ
207L00000X
Anesthesiology Physician
MA69549
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
MA69549
NJ
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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