Organization
INTEGRATIVE SPINE & ORTHOPEDIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA RUSSELL CARTER M.D. (OWNER/PRESIDENT)
(973) 746-2424
Entity
Organization
Contact information
Practice address
1 GREENWOOD AVE, SUITE #100, MONTCLAIR, NJ 07042-3649
(973) 746-2424
(973) 746-5030
Mailing address
1 GREENWOOD AVE, SUITE #100, MONTCLAIR, NJ 07042-3649
(973) 746-2424
(973) 746-5030
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA07029200
NJ
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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