Essex Valley Spine and Healthcare Center

NPI #1104191873 in East Orange, New Jersey

Provider Information

NPI Number: 1104191873
Entity Type: Organization
Organization Name: Essex Valley Spine and Healthcare Center
Primary Specialty: Internal Medicine
Enumeration Date: Mar 14, 2012
Last Updated: Mar 14, 2012

Practice Location

Address: 576 CENTRAL AVE
Address 2: STE 302
City: East Orange
State: New Jersey
ZIP Code: 07018-1951
Phone: (973) 266-7860

Authorized Official

Name: DR. VICTOR THOMAS VERLEZZA, DC
Title: PRESIDENT
Phone: (973) 266-7860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Independent Medical Examiner — Independent Medical Examiner	111NI0013X
Chiropractor - Neurology — Neurology	111NN0400X
Chiropractor - Nutrition — Nutrition	111NN1001X
Chiropractor - Radiology — Radiology	111NR0200X
Chiropractor - Sports Physician — Sports Physician	111NS0005X
Electrodiagnostic Medicine	204R00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
Internal Medicine	207R00000X	Primary

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