Organization
CENTURY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JACOBSON DC (MEMBER)
(973) 574-2070
Entity
Organization
Contact information
Practice address
30 W CENTURY RD STE 300, PARAMUS, NJ 07652-1435
(973) 574-2070
(973) 574-2088
Mailing address
30 W CENTURY RD STE 300, PARAMUS, NJ 07652-1435
(973) 574-2070
(973) 574-2088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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