| NPI | 1083472518 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | JUSTIN P KUBECK Owner 732-930-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-08-16 |