Organization
MANHATTAN ORTHOPAEDIC SPINE-NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY M. LEGG (CREDENTIALING COORDINATOR)
(347) 584-8903
Entity
Organization
Contact information
Practice address
475 PROSPECT AVE, WEST ORANGE, NJ 07052-4197
(877) 272-4535
Mailing address
475 PROSPECT AVE, WEST ORANGE, NJ 07052-4197
(877) 272-4535
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
03/05/2019
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