Advanced Ortho & Pain Center INC
Chiropractor in Jersey City, NJ. Organization (NPI-2).
NPI number1174260731
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1174260731
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Ortho & Pain Center INC
- Organization subpart
- No
- Enumeration date
- May 16, 2022
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 208VP0000X | – | – | ||
| 225100000X | Physical Therapist | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
550 Newark Ave Ste 304Jersey City, NJ 07306-1356
Phone 201-624-2111 · Fax 201-795-0148
Mailing address
550 Newark Ave Ste 304Jersey City, NJ 07306-1356
Phone 201-624-2111 · Fax 201-795-0148
Authorized official
Merwin Francis Richard
Owner
9143103101
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