Provider Demographics
NPI:1073947610
Name:GYM SPA LLC
Entity Type:Organization
Organization Name:GYM SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTURGUL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:855-496-7721
Mailing Address - Street 1:1806 HIGHWAY 35
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2700
Mailing Address - Country:US
Mailing Address - Phone:855-496-7721
Mailing Address - Fax:855-496-7721
Practice Address - Street 1:1806 HIGHWAY 35
Practice Address - Street 2:SUITE 106
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2700
Practice Address - Country:US
Practice Address - Phone:855-496-7721
Practice Address - Fax:855-496-7721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-31
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty