ADVANCED SPINE AND PAIN CENTER LLC

NEWARK, NJ
NPI1003279506
Entity TypeOrganization
Authorized ContactSUKDEB DATTA
Manager
615-479-4692
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
(Licence: NJ  25MA08823500)
Enumeration Date2016-04-01
Last Update Date2016-04-01
Business Address
ADVANCED SPINE AND PAIN CENTER LLC
1060 BROAD STREET
NEWARK, NJ 07102
Phone number: 615-472-4692
Mailing Address
ADVANCED SPINE AND PAIN CENTER LLC
1 TREETOP CT
BERKELEY HEIGHTS, NJ 07922
Phone number: