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Irby Spine Care Pc
Medical Specialty Clinic/Center in Englewood, New Jersey
NPI 1245443779

Irby Spine Care Pc is a Medical Specialty Clinic/Center based in Englewood, NJ and is specialized in Medical Specialty. Irby Spine Care Pc practices in Englewood, NJ. The NPI Number for Irby Spine Care Pc is 1245443779 and holds a License No. (New Jersey).

The current practice location address for Irby Spine Care Pc is 115 Grand Ave, Englewood, NJ and can be reached out via phone at 201-567-4729 and via fax at 201-567-4740. You can also correspond with Irby Spine Care Pc through the mailing address at 59 PRESIDENTIAL DR, ENGLEWOOD, NJ - 07631-3960 (mailing address contact number: 201-759-3088).

Location: 115 Grand Ave, Englewood, NJ, 07631-3960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245443779
Provider Name
Irby Spine Care Pc
Credential
Provider Entity Type
Organization
Address
115 Grand Ave, Englewood, NJ, 07631-3960
Phone Number
201-567-4729
Fax Number
201-567-4740
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X62A61 01 NY EMPIRE BCBS
institution
Provider Business Practice Location Address Details
Address
115 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-3654
Phone Number
201-567-4729
Fax Number
201-567-4740
person
Provider Business Mailing Address Details
Address
115 Grand Ave
City
Englewood
State
New Jersey
Zip
07631-3654
Phone Number
201-567-4729
Fax Number
201-567-4740
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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