Organization Name: | SPINE SURGERY ASSOCIATES & DISCOVERY IMAGING PC |
NPI Number: | 1811385859 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL P VESSA (PRESIDENT) |
Mailing Address: | 1 Robertson Dr Suite 11 Bedminster |
State: | NJ US |
Postal Code: | 079211716 |
Phone Number: | 9085320576 |
Fax Number: | 9085320578 |
NPI Enumeration Date: | 12/29/2014 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA68160 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |