NPI 1063968360
Executive Spine Surgery
Practice location
- Address
- 657 Willow Grove St STE 402, Hackettstown, NJ 07840
- Phone
- (908) 452-5612
- Mailing address
- 657 Willow Grove St STE 402, Hackettstown, NJ 07840-1868
Authorised official
- Name
- Carl J Spivak
- Title
- Neurosurgeon
- Phone
- (908) 452-5612
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1063968360
- Entity type
- Organization
- NPI issued
- 28 Aug 2016
- Record last updated
- 28 Aug 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.