| NPI | 1366214207 |
|---|---|
| Doing Business As | INNOVATIVE SPINE AND PAIN |
| Entity Type | Organization |
| Authorized Contact | ERIC D FREEMAN Part Owner/Managing Mbr 732-906-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 225100000X Physical Therapist | |
| 111N00000X Chiropractor | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-30 |