Organization
CENTER FOR SPINE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAWAN RASTOGI MD (PRESIDENT-BOARD OF MANAGERS)
(302) 463-5499
Entity
Organization
Contact information
Practice address
1219 JEFFERSON ST, WILMINGTON, DE 19801-1033
(302) 984-7178
(302) 777-3444
Mailing address
1219 JEFFERSON ST, WILMINGTON, DE 19801-1033
(302) 984-7178
(302) 777-3444
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
11/06/2023
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