Organization Name: | NJ SPINE AND NEUROPATHY CENTER |
NPI Number: | 1922354943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT MCGRATH (OWNER/ CLINIC DIRECTOR) |
Mailing Address: | 200 Engle St Suite 21 Englewood |
State: | NJ US |
Postal Code: | 076312440 |
Phone Number: | 2017394992 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2012 |
NPI Last Update Date: | 09/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |