Organization
INSTITUTE FOR SPINE & SCOLIOSIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DARRYL ANTONACCI SPINE SURGEON MD (DIRECTOR)
(609) 912-1500
Entity
Organization
Contact information
Practice address
3100 PRINCETON PIKE, BLDG 1, LAWRENCEVILLE, NJ 08648
(609) 912-1500
(609) 912-1600
Mailing address
3100 PRINCETON PIKE, BLDG 1, LAWRENCEVILLE, NJ 08648
(609) 912-1500
(609) 912-1600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213845-1
NY
207X00000X
Orthopaedic Surgery Physician
Primary
25MA06999100
NJ
207X00000X
Orthopaedic Surgery Physician
MD068759L
PA
Other
Enumeration date
11/22/2006
Last updated
01/05/2011
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