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Organization

SPINE AND REHABILITATION CENTER OF JERSEY CITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL LATZA (OWNER)
(908) 764-7704
Entity
Organization

Contact information

Practice address
511 WESTMINSTER AVE, ELIZABETH, NJ 07208-2202
(908) 558-9500
Mailing address
3053 KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
(201) 839-5380

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
225100000X
Physical Therapist

Other

Enumeration date
04/01/2017
Last updated
12/28/2017
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