Organization
ATLANTIC BRAIN & SPINE LLC
Active
Other names
Atlantic Brain & Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M HODOSH MD, FACS (PRESIDENT)
(908) 522-4979
Entity
Organization
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4979
(908) 522-5377
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-4979
(908) 522-5377
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA037407
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182109
—
NJ
Enumeration date
06/11/2007
Last updated
11/12/2007
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