Performance Spine & Sports Medicine
LBN: Performance Spine & Sports Medicine
Performance Spine & Sports Medicine is an health care organization with primary practice located at 4056 Quakerbridge Rd Ste 112 , Lawrenceville NJ 08648-4779. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty.
Performance Spine & Sports Medicine can be contacted via phone (609) 588-8600, or through Wiederholz, Matthias H via phone (609) 588-8600.
Contact Information
Primary practice address
4056 Quakerbridge Rd Ste 112
Lawrenceville NJ 08648-4779
Phone: (609) 588-8600
Fax: (609) 588-8602
Website:
Authorized official contact:
Name: Wiederholz, Matthias H Doctor of Medicine (MD)
Phone: (609) 588-8600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | ||
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
| NPI number | 1689816860 |
|---|---|
| LBN Legal business name | Performance Spine & Sports Medicine |
| DBA Doing business as | |
| Authorized official | Wiederholz, Matthias H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2009 |
| Last updated | May 29th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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