Provider Demographics
NPI:1841049764
Name:A&A PAIN AND SPINE INSTITUTE
Entity type:Organization
Organization Name:A&A PAIN AND SPINE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-707-8791
Mailing Address - Street 1:2 UNIVERSITY PLZ STE 500
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6228
Mailing Address - Country:US
Mailing Address - Phone:201-707-8791
Mailing Address - Fax:
Practice Address - Street 1:2 UNIVERSITY PLZ STE 500
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6228
Practice Address - Country:US
Practice Address - Phone:201-707-8791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty