NPI 1033632765

New Jersey Spine & Sport Rehabilitation Medicine LLC

Organisation Specialist Jersey City, NJ

Practice location

Address: 129 Newark Ave, Jersey City, NJ 07302-2811
Phone: (718) 794-0600
Mailing address: 2008 Eastchester Rd STE a, Bronx, NY 10461-2252

Authorised official

Name: Sireen M Gopal
Title: MD
Phone: (718) 794-0600

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 25MA09845900 (NJ)

Other Specialist providers in New Jersey →

Registry record

NPI: 1033632765
Entity type: Organization
NPI issued: 25 Jul 2017
Record last updated: 25 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.