| NPI | 1831941723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORY GOLDBERG Sole Mbr 732-804-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |