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Individual

MICHAEL J VIVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
90 BERGEN ST, DOC 1200, NEWARK, NJ 07103-2425
(973) 972-2150
(973) 972-2155
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA07264800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8608008
NJ
Enumeration date
11/01/2006
Last updated
04/13/2022
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