Organization
NJ SPINE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON D DONALD MD (MANAGING MEMBER)
(732) 747-7110
Entity
Organization
Contact information
Practice address
234 INDUSTRIAL WAY W, STE A200, EATONTOWN, NJ 07724-4244
(732) 747-7110
(732) 747-7664
Mailing address
234 INDUSTRIAL WAY W, STE A200, EATONTOWN, NJ 07724-4244
(732) 747-7110
(732) 747-7664
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MA46751
NJ
Other
Enumeration date
12/07/2006
Last updated
09/10/2015
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