New Jersey Institute For Minimally Invasive Spine Care, Pa

NPI 1417123621 - Specialist - 174400000X

NPI Details
NPI 1417123621
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SRI SRI
Position DIRECTOR/OWNER
Phone (973) 736-7300
Fax (973) 736-7322
Practice Location
345 MAIN ST
WEST ORANGE NJ, 07052-5700, US
Phone (973) 736-7300
Fax (973) 736-7322
Business Location
300 MAIN ST
21 MADISON PLAZA #107
MADISON NJ, 07940-2369, US
Phone (973) 736-7300
Fax (973) 736-7322
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number MAO40008
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According to our database, New Jersey Institute For Minimally Invasive Spine Care, Pa NPI is 1417123621, taxonomy code is 174400000X and license number is MAO40008, license state is located at New Jersey. New Jersey Institute For Minimally Invasive Spine Care, Pa physically located at 345 Main St, West Orange NJ, 07052-5700. NPI Number 1033115704 has the healthcare provider type.

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1417123621 NPI number is provided on an as is basis without warranty of any kind. 1417123621 is maintained by the National Plan & Provider Enumeration System. The contents of New Jersey Institute For Minimally Invasive Spine Care, Pa are for informational purposes only.