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Performance Spine & Sports Medicine
Prosthetic/Orthotic Supplier in Lawrenceville, New Jersey
NPI 1356610133

Performance Spine & Sports Medicine is a Prosthetic/Orthotic Supplier based in Dallas, NJ. Performance Spine & Sports Medicine practices in Lawrenceville, NJ. The NPI Number for Performance Spine & Sports Medicine is 1356610133 and holds a License No. 25MA08436100 (New Jersey).

The current practice location address for Performance Spine & Sports Medicine is 4056 Quakerbridge Rd Ste 112, Lawrenceville, NJ and can be reached out via phone at 609-588-8600 and via fax at 609-588-8602.

Location: 4056 Quakerbridge Rd Ste 112, Lawrenceville, NJ, 75264-9842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356610133
Provider Name
Performance Spine & Sports Medicine
Credential
Provider Entity Type
Organization
Address
4056 Quakerbridge Rd Ste 112, Lawrenceville, NJ, 75264-9842
Phone Number
609-588-8600
Fax Number
609-588-8602
Provider Enumeration Date
12/22/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
4056 Quakerbridge Rd Ste 112
City
Lawrenceville
State
New Jersey
Zip
08648-4779
Phone Number
609-588-8600
Fax Number
609-588-8602
person
Provider Business Mailing Address Details
Address
4056 Quakerbridge Rd Ste 112
City
Lawrenceville
State
New Jersey
Zip
08648-4779
Phone Number
609-588-8600
Fax Number
609-588-8602
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
25MD00303700 (New Jersey)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
25MA08436100 (New Jersey)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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