# SPECIALIZED SPINE SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265754832
- **Authorized official:** HELEN G PILLA (DIRECTOR)
- **Authorized official phone:** (856) 451-9395

## Contact information

- **Practice address:** 835 CHANTICLEER DRIVE, CHERRY HILL, NJ 08003-4813
- **Practice address phone:** (856) 451-9395
- **Practice address fax:** (856) 451-8615
- **Mailing address:** PO BOX 1752, BRIDGETON, NJ 08302-0472
- **Mailing address phone:** (856) 451-9395
- **Mailing address fax:** (856) 451-8615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 03/11/2010