# PHOENIX SPINE AND REGENERATIVE ORTHOPEDICS LLC

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

## Provider details

- **NPI number:** 1477032894
- **Authorized official:** DR. ALEYA SALAM MD (OWNER)
- **Authorized official phone:** (201) 344-0349

## Contact information

- **Practice address:** 105 RAIDER BLVD STE 208, HILLSBOROUGH, NJ 08844-1528
- **Practice address phone:** (201) 334-0349
- **Practice address fax:** (848) 216-2255
- **Mailing address:** 105 RAIDER BLVD STE 208, HILLSBOROUGH, NJ 08844-1528
- **Mailing address fax:** (848) 216-2255

## Taxonomy

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

## Other

- **Enumeration date:** 08/07/2018
- **Last updated:** 08/07/2018