Organization
EDISON INJURY AND PAIN CENTER, LLC
Active
Other names
Backsmart At Ramsey
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE K WECKESSER (OFFICE MANAGER)
(732) 661-1121
Entity
Organization
Contact information
Practice address
171 LAKE ST, RAMSEY, NJ 07446-2089
(201) 327-1990
(201) 327-1921
Mailing address
1090 KING GEORGES POST RD STE 501, EDISON, NJ 08837-3722
(732) 661-1121
(732) 661-1151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881132082
BCBS NJ
NJ
Enumeration date
02/15/2019
Last updated
02/15/2019
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