| Advanced Spine & Sports Performance | |
|
149 Horseneck Rd, Fairfield, NJ 07004-2306 | |
| (973) 851-9188 | |
| (201) 228-9980 |
| Full Name | Advanced Spine & Sports Performance |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 149 Horseneck Rd, Fairfield, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336590652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | (New Jersey) | Primary |
| 225100000X | Physical Therapist | (New Jersey) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Spine & Sports Performance 149 Horseneck Rd, Fairfield, NJ 07004-2306 Ph: (973) 851-9188 | Advanced Spine & Sports Performance 149 Horseneck Rd, Fairfield, NJ 07004-2306 Ph: (973) 851-9188 |
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