590 Medical, LLC
Neuromusculoskeletal Medicine, Sports Medicine in Jersey City, NJ. Organization (NPI-2).
NPI number1184996332
StatusActive
Last updated in NPPESFeb 3, 2012
Details
- NPI
- 1184996332
- Entity type
- Organization (NPI-2)
- Legal business name
- 590 Medical, LLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2012
- Last updated
- Feb 3, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | – | NJ | Yes |
| 111N00000X | Chiropractor | – | NJ |
Practice location
590 Newark AveJersey City, NJ 07306-2302
Phone 201-420-1165 · Fax 201-420-6893
Mailing address
590 Newark AveJersey City, NJ 07306-2302
Phone 201-420-1165 · Fax 201-420-6893
Authorized official
Gerald M Vernon
Medical Director
2014201165
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