Executive Spine Surgery PC
Executive Spine Surgery PC is a Neurological Surgery Physician in Newton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.
- Licensed in
- NJ
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
157 High StNewton, NJ 07860-1004
Phone: (908) 452-5612
Fax: (908) 452-5624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurological Surgery Physician (primary) | Taxonomy 207T00000X · Licence 25MA09005200 (NJ) |
|---|
Record details
| NPI number | 1164789582 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irina Kamenetskiy — Adminitrator · (917) 697-5558 |
| NPI enumerated | April 23, 2012 |
| Last updated in NPPES | February 9, 2021 |
| Certification date | February 9, 2021 |
| Mailing address | 157 High St, Newton, NJ 07860-1004 |
Other providers in Newton
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Dr. Carl James Spivak, MD
157 High St, Newton, NJ 07860-1004 · (908) 452-5612