Individual
MR. ILIA SPAHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(732) 775-5500
Mailing address
140 EUCLID AVE APT 4B, HACKENSACK, NJ 07601-4621
(973) 980-8627
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MP00437400
NJ
Other
Enumeration date
07/20/2017
Last updated
11/04/2025
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