Organization
PANDA PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN ROVIRA (PRACTICE MANAGER)
(848) 220-4685
Entity
Organization
Contact information
Practice address
142 HIGHWAY 35 STE 107, EATONTOWN, NJ 07724-1864
(732) 867-8030
Mailing address
904 DEAL RD APT 12, OCEAN, NJ 07712-3443
(732) 455-1375
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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