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North Jersey Interventional Spine Center, Llc
Specialist in Wayne, New Jersey
NPI 1184035420

North Jersey Interventional Spine Center, Llc is a Specialist based in Wayne, NJ. North Jersey Interventional Spine Center, Llc practices in Wayne, NJ. The NPI Number for North Jersey Interventional Spine Center, Llc is 1184035420 and holds a License No. 25MA08735700 (New Jersey).

The current practice location address for North Jersey Interventional Spine Center, Llc is 601 Hamburg Tpke, Wayne, NJ and can be reached out via phone at 862-248-0668 and via fax at 862-248-0669.

Location: 601 Hamburg Tpke, Wayne, NJ, 07470-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184035420
Provider Name
North Jersey Interventional Spine Center, Llc
Credential
Provider Entity Type
Organization
Address
601 Hamburg Tpke, Wayne, NJ, 07470-2048
Phone Number
862-248-0668
Fax Number
862-248-0669
Provider Enumeration Date
05/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MA08735700 01 NJ MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
601 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-2048
Phone Number
862-248-0668
Fax Number
862-248-0669
person
Provider Business Mailing Address Details
Address
601 Hamburg Tpke
City
Wayne
State
New Jersey
Zip
07470-2048
Phone Number
862-248-0668
Fax Number
862-248-0669
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA08735700 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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