GARDEN STATE SPINE AND PAIN INSTITUTE LLC NPI 1023196094

NPI Information

GARDEN STATE SPINE AND PAIN INSTITUTE LLC is a chiropractor in Eatontown, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GARDEN STATE SPINE AND PAIN INSTITUTE LLC NPI is 1023196094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 MERIDIAN RD
EATONTOWN, NJ
ZIP 07724-242
Phone: (732) 935-1000
Fax: (732) 935-9100

The provider's authorized official is Raj Andrew Gupta .
The authorized official title is Partner/ower and has the following contact phone number (732) 935-1000.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 5/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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