Organization
SPINE AND REHABILITATION CENTER OF BELLEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LATZA DC (MANAGER)
(908) 322-8300
Entity
Organization
Contact information
Practice address
383 WASHINGTON AVE, BELLEVILLE, NJ 07109-3252
(973) 302-7936
Mailing address
383 WASHINGTON AVE, BELLEVILLE, NJ 07109-3252
(973) 302-7936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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