The Spine Institute & Sport Medicine of New Jersey Incorporate
NPI #1700163318 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1700163318
- Entity Type
- Organization
- Organization Name
- The Spine Institute & Sport Medicine of New Jersey Incorporate
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Jul 24, 2013
Practice Location
- Address
- 418 SMITH ST
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-3829
- Phone
- (732) 641-3620
Authorized Official
- Name
- MR. JUAN VIDAL
- Title
- PRESIDENT
- Phone
- (732) 641-3620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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