Organization · Type 2 NPI
Spine Exposure Specialists LLC
Vascular Surgery Physician · Summit, NJ
NPI number
1801040027
Active
Practice location
47 Maple Street, Suite 407
Summit, NJ 07901-2571
Fax (908) 634-0323
Mailing address
PO Box 157
Summit, NJ 07902-0151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | MA60608 (NJ) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1801040027
Spine Exposure Specialists LLC's National Provider Identifier is 1801040027, issued on Nov 14, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Summit, NJ. The record was last updated on Feb 26, 2020.