Organization
NORTHEAST SPINE & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOT DAVID PARIS M.D. (OWNER)
(732) 827-0800
Entity
Organization
Contact information
Practice address
1043 RARITAN RD, CLARK, NJ 07066-1316
(732) 827-0800
(732) 827-0826
Mailing address
1043 RARITAN RD, CLARK, NJ 07066-1316
(732) 827-0800
(732) 827-0826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
03/15/2007
Last updated
07/21/2022
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