Executive Spine Surgery PC
NPI #1164789582 in Newton, New Jersey
Provider Information
- NPI Number
- 1164789582
- Entity Type
- Organization
- Organization Name
- Executive Spine Surgery PC
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Apr 23, 2012
- Last Updated
- Feb 9, 2021
Practice Location
- Address
- 157 HIGH ST
- City
- Newton
- State
- New Jersey
- ZIP Code
- 07860-1004
- Phone
- (908) 452-5612
Authorized Official
- Name
- MS. IRINA KAMENETSKIY
- Title
- ADMINITRATOR
- Phone
- (917) 697-5558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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