Panda Physical Medicine LLC
Chiropractor, Neurology in Eatontown, NJ. Organization (NPI-2).
NPI number1831801596
StatusActive
Last updated in NPPESDec 14, 2022
Details
- NPI
- 1831801596
- Entity type
- Organization (NPI-2)
- Legal business name
- Panda Physical Medicine LLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2022
- Certification date
- Dec 14, 2022
- Last updated
- Dec 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NN0400X | Chiropractor, Neurology | – | – | Yes |
Practice location
142 Highway 35 Ste 107Eatontown, NJ 07724-1864
Phone 732-867-8030
Mailing address
904 Deal Rd Apt 12Ocean, NJ 07712-3443
Phone 732-455-1375
Authorized official
Jillian Rovira
Practice Manager
8482204685
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