Organization
MANHATTAN ORTHOPEDIC SPINE-NJ
Active
Organization
MANHATTAN ORTHOPEDIC SPINE-NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA BESGEN (ADMINISTRATOR)
(914) 437-5850
Entity
Organization
Contact information
Practice address
475 PROSPECT AVE, WEST ORANGE, NJ 07052-4197
(212) 717-7463
Mailing address
475 PROSPECT AVE, WEST ORANGE, NJ 07052-4197
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA08550000
NJ
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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