Revive Spine and Pain Center
NPI #1457896003 in Marlton, New Jersey
Provider Information
- NPI Number
- 1457896003
- Entity Type
- Organization
- Organization Name
- Revive Spine and Pain Center
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Enumeration Date
- Jan 5, 2017
- Last Updated
- Jan 31, 2024
Practice Location
- Address
- 1001 LINCOLN DR W STE E
- City
- Marlton
- State
- New Jersey
- ZIP Code
- 08053-1534
- Phone
- (856) 983-9001
Authorized Official
- Name
- DR. MICHAEL RIZKALLA, MD
- Title
- DIRECTOR
- Phone
- (856) 983-9001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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