Organization
PERFORMANCE PAIN AND SPORTS MEDICINE OF RARITAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE M MANZI MD (OWNER / MANAGING MEMBER)
(848) 448-7717
Entity
Organization
Contact information
Practice address
903 US HIGHWAY 202 STE 2A, RARITAN, NJ 08869-1449
(609) 588-8600
(609) 588-8602
Mailing address
4126 SOUTHWEST FWY STE 1700, HOUSTON, TX 77027-7317
(346) 217-1111
(346) 571-2189
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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