Jersey Premier Pain

NPI #1043686926 in Bayonne, New Jersey

Provider Information

NPI Number: 1043686926
Entity Type: Organization
Organization Name: Jersey Premier Pain
Primary Specialty: Chiropractor
Enumeration Date: Aug 14, 2015
Last Updated: Aug 14, 2015

Practice Location

Address: 777 AVENUE C
City: Bayonne
State: New Jersey
ZIP Code: 07002-2844
Phone: (551) 697-4134

Authorized Official

Name: DR. JONATHAN MINGOIA, D.C.
Title: DIRECTOR
Phone: (551) 697-4134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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