Organization
SOUL FOCUS MEDICAL & SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ A GUPTA (OWNER)
(732) 935-1000
Entity
Organization
Contact information
Practice address
7 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 935-1000
(732) 932-9100
Mailing address
7 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 935-1000
(732) 932-9100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38MC00542300
STATE LICENSE
NJ
Enumeration date
02/17/2022
Last updated
02/17/2022
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