Platinum Physical Therapy & Wellness
Exclusive Provider Organization in Union Beach, NJ. Organization (NPI-2).
NPI number1043762065
StatusActive
Last updated in NPPESOct 25, 2016
Details
- NPI
- 1043762065
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Physical Therapy & Wellness
- Organization subpart
- No
- Enumeration date
- Oct 25, 2016
- Last updated
- Oct 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 38MC00672600 | NJ | Yes |
Practice location
809 Highway 36Union Beach, NJ 07735-3366
Phone 732-497-0930 · Fax 732-497-0932
Mailing address
809 Route 36Union Beach, NJ 07735-3366
Phone 732-497-0930 · Fax 732-497-0932
Authorized official
Jerry Goldenberg
Chiropractor
7324425542
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