Organization
ORTHO&PAIN CENTER OF NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JACOBSON DC (OWNER)
(201) 803-1176
Entity
Organization
Contact information
Practice address
200 FREEWAY DR E # 304, EAST ORANGE, NJ 07018-3809
(201) 803-1176
Mailing address
PO BOX 110055, NUTLEY, NJ 07110-0901
(201) 803-1176
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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