Organization Name: | RIVERVIEW PAIN AND SPINE INSTITUTE PC |
NPI Number: | 1033567151 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATT LEGOWSKI (OPERATIONS) |
Mailing Address: | 725 River Rd Suite 201a Edgewater |
State: | NJ US |
Postal Code: | 070201171 |
Phone Number: | 6097035097 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332900000X |
License Number: | 25MA07339500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Non-Pharmacy Dispensing Site |
Taxonomy Specialization: | |
Taxonomy Definition: | A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |