# INTERNATIONAL SPINE & SPORTS INSTITUTE LLC

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

## Provider details

- **NPI number:** 1336783471
- **Authorized official:** DR. SCOTT KATZMAN MD (OWNER)
- **Authorized official phone:** (561) 855-2828

## Contact information

- **Practice address:** 375 MOUNT PLEASANT AVE STE 205, WEST ORANGE, NJ 07052-2751
- **Practice address phone:** (561) 855-2828
- **Practice address fax:** (561) 653-1979
- **Mailing address:** 1200 ROUTE 22 STE 14, BRIDGEWATER, NJ 08807-2943
- **Mailing address phone:** (855) 586-2615
- **Mailing address fax:** (973) 564-6092

## 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:** 11/01/2019
- **Last updated:** 02/27/2024