Organization Name: | SPINE AND JOINTS SURGICAL ASSISTANTS |
NPI Number: | 1063838977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA FALTO (PRESIDENT/CEO) |
Mailing Address: | 1605 John St Suite 315 Fort Lee |
State: | NJ US |
Postal Code: | 070242575 |
Phone Number: | 6468251040 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2014 |
NPI Last Update Date: | 03/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00187000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |