Organization
BERGENLINE SPINE AND HEALTHCARE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER WOHL D.C. (MANAGER)
(201) 758-0099
Entity
Organization
Contact information
Practice address
6000 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-1414
(201) 758-0099
(201) 758-2992
Mailing address
PO BOX 5262, WEST NEW YORK, NJ 07093-9262
(201) 758-0099
(201) 758-2992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
25MZ00059400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
40QA00729000
NJ
Other
Enumeration date
02/10/2012
Last updated
05/24/2013
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