Organization
SPINE AND SPORTS MEDICINE OF MANCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
60 LACEY RD, WHITING, NJ 08759-2921
(732) 408-4492
Mailing address
60 LACEY RD, WHITING, NJ 08759-2921
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB09673700
NJ
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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