Revive Spine And Pain Center

LBN: Revive Spine And Pain Center
Revive Spine And Pain Center is an health care organization with primary practice located at 1001 Lincoln Dr W Ste E , Marlton NJ 08053-1534. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Revive Spine And Pain Center can be contacted via phone (856) 983-9001, or through Rizkalla, Michael via phone (856) 983-9001.

Contact Information

Primary practice address
1001 Lincoln Dr W Ste E Marlton NJ 08053-1534
Phone: (856) 983-9001
Fax: (856) 983-9011
Website:
Map and Directions
Authorized official contact:
Name: Rizkalla, Michael Doctor of Medicine (MD)
Phone: (856) 983-9001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Ambulatory Health Care Facilities / Pain 261QP3300X 25MA08922900 New Jersey

Profile Details

NPI number 1457896003
LBN Legal business name Revive Spine And Pain Center
DBA Doing business as
Authorized official Rizkalla, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2017
Last updated Jan 31st, 2024 - about 8 months ago

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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