Organization
NORTHEAST NEUROSURGICAL ASSOCIATES
Active
Parent organization
IGEA BRAIN & SPINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
IGEA BRAIN & SPINE
Authorized official
DAVID POULAD M.D. (PRESIDENT)
(908) 688-8800
Entity
Organization
Contact information
Practice address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(908) 688-8800
(908) 688-2377
Mailing address
1057 COMMERCE AVE, UNION, NJ 07083-5025
(908) 688-8800
(908) 688-2377
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA08517100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198838
—
NJ
Enumeration date
03/23/2015
Last updated
03/23/2015
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