# INTEGRATIVE SPINE & ORTHOPEDIC REHABILITATION

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

## Provider details

- **NPI number:** 1427302512
- **Authorized official:** DR. ALICIA RUSSELL CARTER M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (973) 746-2424

## Contact information

- **Practice address:** 1 GREENWOOD AVE, SUITE \#100, MONTCLAIR, NJ 07042-3649
- **Practice address phone:** (973) 746-2424
- **Practice address fax:** (973) 746-5030
- **Mailing address:** 1 GREENWOOD AVE, SUITE \#100, MONTCLAIR, NJ 07042-3649
- **Mailing address phone:** (973) 746-2424
- **Mailing address fax:** (973) 746-5030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA07029200 | NJ | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012