Organization
PALISADES REHAB AND SPINAL CARE GROUP,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE JOHN BUSSANICH (OWNER)
(201) 840-5888
Entity
Organization
Contact information
Practice address
596 ANDERSON AVE, SUITE 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 840-5888
Mailing address
596 ANDERSON AVE, SUITE 108, CLIFFSIDE PARK, NJ 07010-1831
(201) 840-5888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00626600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06277300
NJ
207R00000X
Internal Medicine Physician
25MA04969400
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA07789800
NJ
208VP0014X
Interventional Pain Medicine Physician
25MB08234500
NJ
Other
Enumeration date
08/10/2009
Last updated
10/07/2011
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