Organization
SPINE CONSULT NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. GERLING MD (OWNER/PRESIDEN)
(718) 915-2151
Entity
Organization
Contact information
Practice address
140 SYLVAN AVENUE, ENGELWOOD CLIFFS, NJ 07632
(212) 882-1110
(212) 882-1120
Mailing address
506 5TH AVENUE #2FF, BROOKLYN, NY 11215
(212) 882-1110
(212) 882-1120
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0561177
—
NJ
Enumeration date
06/17/2015
Last updated
04/24/2019
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