Organization · Type 2 NPI
Executive Spine Surgery
Neurological Surgery Physician · Hackettstown, NJ
Practice location
657 Willow Grove St Ste 402
Hackettstown, NJ 07840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurological Surgery Physician Primary | 207T00000X | 003005 (NY) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
About NPI 1063968360
Executive Spine Surgery's National Provider Identifier is 1063968360, issued on Aug 28, 2016. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Hackettstown, NJ. The record was last updated on Aug 28, 2016.