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Organization

ATLANTIC SPINE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAIXUAN LIU M.D. PHD (PRESIDENT)
(973) 419-0200
Entity
Organization

Contact information

Practice address
475 PROSPECT AVE, SUITE 110, WEST ORANGE, NJ 07052-4197
(973) 419-0200
(973) 419-0223
Mailing address
475 PROSPECT AVE, SUITE 110, WEST ORANGE, NJ 07052-4197
(973) 419-0200
(972) 341-9022

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA07186700
NJ

Other

Enumeration date
07/17/2006
Last updated
10/21/2015
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