Organization
COMPLETE CARE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE TATE (OFFICE BUSINESS MANAGER)
(732) 451-1229
Entity
Organization
Contact information
Practice address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 451-1229
(732) 864-1229
Mailing address
1868 HOOPER AVE, TOMS RIVER, NJ 08753-8175
(732) 451-1229
(732) 864-1229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00492900
NJ
111N00000X
Chiropractor
38MC00561500
NJ
171100000X
Acupuncturist
2MZ00010400
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MA06926200
NJ
207X00000X
Orthopaedic Surgery Physician
25MB06359800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
MA70679
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MB09000000
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
65665
NJ
225100000X
Physical Therapist
402A01520200
NJ
225100000X
Physical Therapist
40QA1371700
NJ
Other
Enumeration date
05/20/2014
Last updated
10/10/2014
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