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Organization
SPINE BONE AND JOINT SPECIALISTS LLC
Active
Organization
SPINE BONE AND JOINT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN D OBRIEN MD (OWNER)
(856) 845-0707
Entity
Organization
Contact information
Practice address
608 N BROAD ST, SUITE 201, WOODBURY, NJ 08096-1794
(856) 845-0707
(856) 845-0082
Mailing address
608 N BROAD ST, SUITE 201, WOODBURY, NJ 08096-1794
(856) 845-0707
(856) 845-0082
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA63525
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003795000
AMERIHEALTH
NJ
Enumeration date
03/16/2007
Last updated
08/22/2020
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