North Jersey Interventional Spine Center, LLC

NPI #1184035420 in Wayne, New Jersey

Provider Information

NPI Number: 1184035420
Entity Type: Organization
Organization Name: North Jersey Interventional Spine Center, LLC
Primary Specialty: Specialist
Enumeration Date: May 8, 2014
Last Updated: Feb 25, 2015

Practice Location

Address: 601 HAMBURG TPKE
Address 2: SUITE 204
City: Wayne
State: New Jersey
ZIP Code: 07470-2048
Phone: (862) 248-0668

Authorized Official

Name: DR. DAVID M BANDOLA, MD
Title: MD
Phone: (862) 248-0668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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