# HEALTHSPINE AND ANESTHESIA INSTITUTE

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

## Provider details

- **NPI number:** 1588992853
- **Authorized official:** TOMI T PRVULOVIC MD (OWNER)
- **Authorized official phone:** (973) 865-5111

## Contact information

- **Practice address:** 197 RIDGEDALE AVE STE 101C, CEDAR KNOLLS, NJ 07927-2111
- **Practice address phone:** (973) 865-5111
- **Practice address fax:** (973) 292-0772
- **Mailing address:** PO BOX 4, CEDAR KNOLLS, NJ 07927-0004
- **Mailing address phone:** (973) 865-5111
- **Mailing address fax:** (973) 292-0772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2009
- **Last updated:** 02/20/2012