Provider Demographics
NPI:1821459678
Name:PARLIN SPINE & DISC
Entity Type:Organization
Organization Name:PARLIN SPINE & DISC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEWCOMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-721-0044
Mailing Address - Street 1:3010 BORDENTOWN AVE
Mailing Address - Street 2:SAYREBRIDGE PROF BUILDING
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1181
Mailing Address - Country:US
Mailing Address - Phone:732-721-0044
Mailing Address - Fax:732-316-1336
Practice Address - Street 1:3010 BORDENTOWN AVE
Practice Address - Street 2:SAYREBRIDGE PROF BUILDING
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1181
Practice Address - Country:US
Practice Address - Phone:732-721-0044
Practice Address - Fax:732-316-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMCO2257261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service