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Organization

FELLOWSHIP SPINE SURGICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REED MARTIN (GROUP VICE PRESIDENT)
(913) 387-0582
Entity
Organization

Contact information

Practice address
715 FELLOWSHIP RD, SUITE A, MOUNT LAUREL, NJ 08054-1003
(913) 387-0582
Mailing address
715 FELLOWSHIP RD, SUITE A, MOUNT LAUREL, NJ 08054-1003

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
12/19/2006
Last updated
04/03/2009
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