Organization
RENALDO SPINE SURGERY
Active
Organization
RENALDO SPINE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE ASBURY (SUPERVISOR OF OUTSTANDING CLAIMS)
(201) 326-4762
Entity
Organization
Contact information
Practice address
305 W GRAND AVE, MONTVALE, NJ 07645-1813
(201) 326-4762
Mailing address
305 W GRAND AVE, MONTVALE, NJ 07645-1813
(201) 326-4762
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA09490900
NJ
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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