Organization
WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P PODELL D. C. (PRESIDENT)
(201) 840-1980
Entity
Organization
Contact information
Practice address
115 RIVER RD STE 901, EDGEWATER, NJ 07020-1080
(201) 840-1980
(201) 840-1987
Mailing address
115 RIVER RD STE 901, EDGEWATER, NJ 07020-1080
(201) 840-1980
(201) 840-1987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
2085N0700X
Neuroradiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
12/05/2006
Last updated
10/27/2013
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