NPI 1013465947

Spine Institute of New Jersey LLC

Organisation Medical Specialty Clinic/Center Paterson, NJ

Practice location

Address: 375 Broadway Suite 1, Paterson, NJ 07501-2294
Phone: (973) 925-1881
Fax: (973) 925-1884

Authorised official

Name: David G Harris
Title: Managing Administrator
Phone: (973) 925-1881

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 38MC00508400 (NJ)

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Registry record

NPI: 1013465947
Entity type: Organization
NPI issued: 20 Sep 2016
Record last updated: 20 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.