| NPI | 1598454381 |
|---|---|
| Doing Business As | NOVA SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK SHASTI CEO 410-599-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-06-22 |