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Organization
PALISADES REHAB AND SPINAL CARE GROUP,
Active
Organization
PALISADES REHAB AND SPINAL CARE GROUP,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JOHN BUSSANICH (OWNER)
(201) 840-5888
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE, SUITE 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 840-5888
Mailing address
596 ANDERSON AVE, SUITE 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 840-5888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00626600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06277300
NJ
207R00000X
Internal Medicine Physician
25MA04969400
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA07789800
NJ
208VP0014X
Interventional Pain Medicine Physician
25MB08234500
NJ
Other
Enumeration date
08/10/2009
Last updated
10/07/2011
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