Whalio Doctors

NPI 1184996332

590 Medical, LLC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Jersey City, NJ

Practice location

Address
590 Newark Ave, Jersey City, NJ 07306-2302
Phone
(201) 420-1165
Fax
(201) 420-6893

Authorised official

Name
Gerald M Vernon
Title
Medical Director
Phone
(201) 420-1165

Registered specialties (2)

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X
Chiropractor
Chiropractic Providers Taxonomy 111N00000X

Registry record

NPI
1184996332
Entity type
Organization
NPI issued
3 Feb 2012
Record last updated
3 Feb 2012

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.