Airport Plaza Spine & Wellness Llc | |
1354 State Route 36, Hazlet, NJ 07730-1716 | |
(732) 567-5477 | |
Not Available |
Full Name | Airport Plaza Spine & Wellness Llc |
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Type | Facility |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1354 State Route 36, Hazlet, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1881053197 | NPI | - | NPPES |
Provider Name | Kavita Gupta |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1699745828 PECOS PAC ID: 6507769858 Enrollment ID: I20040308000214 |
Provider Name | Maria Sheila Rasonabe Sto Domingo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790731370 PECOS PAC ID: 6709822117 Enrollment ID: I20050707000004 |
Provider Name | Joseph Jimenez |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1437310448 PECOS PAC ID: 2062570526 Enrollment ID: I20081028000243 |
Provider Name | Michael Craig Dobrow |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1952508087 PECOS PAC ID: 6507927381 Enrollment ID: I20081211000668 |
Provider Name | Tithi Mitra |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124266366 PECOS PAC ID: 0446401350 Enrollment ID: I20140210001148 |
Provider Name | Jason Michael Brooks |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316205859 PECOS PAC ID: 6204138282 Enrollment ID: I20160107001890 |
Provider Name | Grace L Umali |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174061055 PECOS PAC ID: 2961789664 Enrollment ID: I20170602000170 |
Provider Name | Stephanie Gonyea-george |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417666025 PECOS PAC ID: 6103365424 Enrollment ID: I20240829003150 |
Mailing Address | Practice Location Address |
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Airport Plaza Spine & Wellness Llc 1354 State Route 36, Hazlet, NJ 07730-1716 Ph: (732) 567-5477 | Airport Plaza Spine & Wellness Llc 1354 State Route 36, Hazlet, NJ 07730-1716 Ph: (732) 567-5477 |