# PREMIER ORTHOPAEDIC SPINE ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1851882666
- **Authorized official:** RAHUL SHAH DO (DO)
- **Authorized official phone:** (856) 896-2333

## Contact information

- **Practice address:** 298 S DELSEA DR, VINELAND, NJ 08360
- **Practice address phone:** (856) 896-2333
- **Practice address fax:** (856) 896-2334
- **Mailing address:** 298 S DELSEA DR, VINELAND, NJ 08360-4568
- **Mailing address phone:** (856) 896-2333
- **Mailing address fax:** (856) 896-2334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA08542100 | NJ | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 08/28/2018