Organization
SPINE AND JOINT CARE OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILANA ETELZON (PRESIDENT)
(646) 644-2481
Entity
Organization
Contact information
Practice address
1111 PAULISON AVE, CLIFTON, NJ 07011-3600
(908) 906-7813
Mailing address
3 SOMERSET LN # 500, EDGEWATER, NJ 07020-2419
(908) 906-7813
(908) 906-7813
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/30/2025
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