Organization
ORTHOPAEDIC & SPINE CENTER OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A MCCRACKEN M.D. (PRESIDENT)
(908) 822-9282
Entity
Organization
Contact information
Practice address
45 MOUNTAIN BLVD, BLDG D, SUITE 2, WARREN, NJ 07059-2635
(908) 822-9282
(908) 822-9201
Mailing address
45 MOUNTAIN BLVD, BLDG D, SUITE 2, WARREN, NJ 07059-2635
(908) 822-9282
(908) 822-9201
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MA060113
NJ
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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