Performance Spine and Sports Medicine East Brunswick
Performance Spine and Sports Medicine East Brunswick provides Specialist services in East Brunswick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.
- Licensed in
- NJ
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
555 State Route 18East Brunswick, NJ 08816-3713 Not confirmed with CMS for 10 years — call before visiting
Phone: (609) 817-0052
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 25MA09258600 (NJ) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 25MA08922900 (NJ) |
Record details
| NPI number | 1699228650 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacy Salera — Finance Representative · (609) 817-0052 |
| NPI enumerated | July 26, 2016 |
| Last updated in NPPES | September 21, 2016 |
| Mailing address | 555 State Route 18, East Brunswick, NJ 08816-3713 |
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