| NPI | 1639773211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA KUPERSHTEIN Owner 908-376-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-11-24 |