Executive Spine Surgery
NPI #1063968360 in Hackettstown, New Jersey
Provider Information
- NPI Number
- 1063968360
- Entity Type
- Organization
- Organization Name
- Executive Spine Surgery
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Aug 28, 2016
Practice Location
- Address
- 657 WILLOW GROVE ST STE 402
- City
- Hackettstown
- State
- New Jersey
- ZIP Code
- 07840
- Phone
- (908) 452-5612
Authorized Official
- Name
- DR. CARL J SPIVAK, MD
- Title
- NEUROSURGEON
- Phone
- (908) 452-5612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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