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Organization

SPECIALISTS OF THE SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD HARRY FRANK M.D. (OWNER)
(973) 744-7111
Entity
Organization

Contact information

Practice address
96 GATES AVENUE, MONTCLAIR, NJ 07042
(973) 744-7111
(973) 746-6634
Mailing address
96 GATES AVENUE, MONTCLAIR, NJ 07042
(973) 744-7111
(973) 746-6634

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA02551300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1231308
NJ
Enumeration date
11/24/2009
Last updated
11/24/2009
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