# CENTER FOR SPINE SURGERY LLC

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

## Provider details

- **NPI number:** 1437737442
- **Authorized official:** DR. PAWAN RASTOGI MD (PRESIDENT-BOARD OF MANAGERS)
- **Authorized official phone:** (302) 463-5499

## Contact information

- **Practice address:** 1219 JEFFERSON ST, WILMINGTON, DE 19801-1033
- **Practice address phone:** (302) 984-7178
- **Practice address fax:** (302) 777-3444
- **Mailing address:** 1219 JEFFERSON ST, WILMINGTON, DE 19801-1033
- **Mailing address phone:** (302) 984-7178
- **Mailing address fax:** (302) 777-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2021
- **Last updated:** 11/06/2023