Organization
NEW JERSEY INSTITUTE FOR MINIMALLY INVASIVE SPINE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRI KANTHA MD (DIRECTOR/OWNER)
(973) 736-7300
Entity
Organization
Contact information
Practice address
345 MAIN ST, WEST ORANGE, NJ 07052-5700
(973) 736-7300
(973) 736-7322
Mailing address
300 MAIN ST, 21 MADISON PLAZA #107, MADISON, NJ 07940-2369
(973) 736-7300
(973) 736-7322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAO40008
NJ
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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