NPI 1104270578
Premier Brain and Spine LLC
Practice location
- Address
- 651 Route 73 N STE 405, Marlton, NJ 08053-3452
- Phone
- (609) 896-0444
- Mailing address
- 90 Matawan Rd STE 302, Matawan, NJ 07747-2653
Authorised official
- Name
- Eric D Freeman
- Title
- Part-Owner
- Phone
- (732) 906-9600
Registered specialties (9)
Durable Medical Equipment & Medical Supplies
Primary
Neurological Surgery Physician
Orthopaedic Surgery Physician
Orthopaedic Surgery of the Spine Physician
Physical Medicine & Rehabilitation Physician
Pain Medicine Physician
Interventional Pain Medicine Physician
Physical Therapist
Occupational Therapist
Registry record
- NPI
- 1104270578
- Entity type
- Organization
- NPI issued
- 21 Apr 2016
- Record last updated
- 20 Feb 2025
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.