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Organization

SPINE & SPORTS MEDICINE OF MANCHESTER LLC

Active
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Organization

SPINE & SPORTS MEDICINE OF MANCHESTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEVIN HSU MD (CO-PRESIDENT)
(732) 350-0500
Entity
Organization

Contact information

Practice address
60 LACEY RD, WHITING, NJ 08759-2921
(732) 408-4492
(323) 500-8527
Mailing address
60 LACEY RD, WHITING, NJ 08759-2921
(732) 350-0500

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
207QS0010X
Sports Medicine (Family Medicine) Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
04/27/2015
Last updated
11/22/2022
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