Organization
MINIMALLY INVASIVE AND REGENERATIVE SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMI PRVULOVIC M.D. (SOLE MBR)
(973) 903-4943
Entity
Organization
Contact information
Practice address
1054 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-4100
Mailing address
1054 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-4100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06129800
NJ
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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