OrganizationActive
Advanced Spine & Sports Medicine Specialist LLC
NPI 1275804650 · Interventional Pain Medicine Physician · Metuchen, NJ
Provider details
- NPI number
- 1275804650
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Boqing Chen, Manager(732) 902-6461
- License
- MA066877 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
245 Bridge St Bldg G
Metuchen, NJ 08840-2294
Phone: (732) 902-6461
Fax: (732) 902-6463
Approximate (ZIP-level) locationGet directions
Mailing address
245 Bridge St Bldg G
Metuchen, NJ 08840-2294
Registry dates
- Enumerated
- 2012-01-18
- Last updated
- 2012-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.