Organization
NEW JERSEY SPINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A KAUL M.D. (ADMINISTRATOR)
(973) 338-0980
Entity
Organization
Contact information
Practice address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442
(973) 248-8818
(973) 248-8844
Mailing address
200 BROADACRES DR., SUITE 130, BLOOMFIELD, NJ 07003
(973) 338-0980
(973) 338-1025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06328100
NJ
Other
Enumeration date
05/03/2007
Last updated
06/17/2014
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