Performance Spine and Sports Medicine of Bordentown, LLC
NPI #1073912333 in Bordentown, New Jersey
Provider Information
- NPI Number
- 1073912333
- Entity Type
- Organization
- Organization Name
- Performance Spine and Sports Medicine of Bordentown, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 22, 2014
- Last Updated
- Aug 22, 2014
Practice Location
- Address
- 9500 K. JOHNSON BLVD
- Address 2
- SUITE 1
- City
- Bordentown
- State
- New Jersey
- ZIP Code
- 08505-4400
- Phone
- (609) 588-8600
Authorized Official
- Name
- DR. MATTHIAS HEINZ WIEDERHOLZ, M.D
- Title
- OWNER
- Phone
- (609) 588-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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