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Contact Information

ALLIANCE SPINE ASSOCIATES LLC
39-40 BROADWAY STE 1
FAIR LAWN, NJ07410-5413
 Phone: 201-509-8998
 Fax: 973-246-7120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ALLIANCE SPINE ASSOCIATES LLC

NPI # 1922422237
LBN Legal business name ALLIANCE SPINE ASSOCIATES LLC
Authorized official ROMAN KOSIBOROD - (SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2014
Last updated 04/17/2019 - About 7 years ago
Identifiers
NJ License # 25MB07566200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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