Organization
EIDELSON SPINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART G EIDELSON M.D. (PRESIDENT)
(561) 716-1560
Entity
Organization
Contact information
Practice address
1900 GARDEN RD, STE.120, MONTEREY, CA 93940-5373
(831) 657-0111
(831) 656-1202
Mailing address
15300 JOG RD, SUITE 107, DELRAY BEACH, FL 33446-2162
(561) 742-5959
(561) 734-2226
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G89325
CA
Other
Enumeration date
06/11/2013
Last updated
03/18/2015
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