Provider Demographics
NPI:1841891298
Name:JAMES T GILAS M.D. SPINE AND JOINT CENTER PLLC
Entity type:Organization
Organization Name:JAMES T GILAS M.D. SPINE AND JOINT CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GILAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-695-6731
Mailing Address - Street 1:2276 E. 13TH STREET
Mailing Address - Street 2:STORE FRONT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26635 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:LATHRUP VILLAGE
Practice Address - State:MI
Practice Address - Zip Code:48076-4530
Practice Address - Country:US
Practice Address - Phone:248-598-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty