Provider Demographics
NPI:1821765553
Name:TAWFIK SPINE LLC
Entity Type:Organization
Organization Name:TAWFIK SPINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:TAWFIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-610-4019
Mailing Address - Street 1:825 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1119
Mailing Address - Country:US
Mailing Address - Phone:201-849-1000
Mailing Address - Fax:
Practice Address - Street 1:825 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1119
Practice Address - Country:US
Practice Address - Phone:201-849-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-30
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty