Organization
OLD BRIDGE SPINE & WELLNESS CENTER,PA
Active
Parent organization
OLD BRIDGE SPINE & WELLNESS CENTER, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD BRIDGE SPINE & WELLNESS CENTER, PA
Authorized official
MRS. YAMILIA C NELSON (BILLING COORDINATOR)
(732) 320-6285
Entity
Organization
Contact information
Practice address
300 PERRINE RD STE 305, OLD BRIDGE, NJ 08857-3628
(732) 320-6285
(732) 374-9864
Mailing address
144 ROUTE 34, MATAWAN, NJ 07747-2132
(732) 320-6285
(732) 374-9864
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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