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Organization

FIVE ELEMENT REHAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EUGENE LEE D.C. (OWNER)
(201) 943-7768
Entity
Organization

Contact information

Practice address
725 RIVER RD, SUITE 201, EDGEWATER, NJ 07020-1171
(201) 943-7768
(201) 943-7798
Mailing address
725 RIVER RD, SUITE 201, EDGEWATER, NJ 07020-1171
(201) 943-7768
(201) 943-7798

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00636500
NJ
225100000X
Physical Therapist
Primary
40QA00353600
NJ

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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