Organization
PERFORMANCE MEDICAL GROUP
Active
Other names
Performance Rehabilitation and Regenative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD R. SPIAGGIA DC (MANAGING MEMBER)
(908) 756-2424
Entity
Organization
Contact information
Practice address
119 US HIGHWAY 22, GREEN BROOK, NJ 08812-2147
(908) 756-2424
(908) 546-7879
Mailing address
10 JOHNSTON DR, WATCHUNG, NJ 07069-4905
(908) 756-2424
(908) 756-2447
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0450098918
NJ
Other
Enumeration date
08/24/2016
Last updated
01/10/2017
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