Organization
PRINCETON SPINE AND JOINT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA BRACILOVIC COOPER MD (CO-DIRECTOR)
(609) 454-0760
Entity
Organization
Contact information
Practice address
601 EWING ST STE A2, PRINCETON, NJ 08540-2767
(609) 454-0760
(609) 454-0761
Mailing address
601 EWING ST STE A2, PRINCETON, NJ 08540-2767
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
239688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239688
LICENSE
NY
Enumeration date
05/14/2008
Last updated
12/17/2019
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