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General NPI Number Information
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NPI Number | 1255283479
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Entity Type | Organization
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Legal Business Name | SCOLI3D SPINE & SCOLIOSIS CENTER, P.C.
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 540 BORDENTOWN AVE
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1546
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Country | US
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Telephone | 908-726-5433
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Fax | 844-471-3093
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Provider Business Mailing Address
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Address Line | 540 BORDENTOWN AVE
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City | SOUTH AMBOY
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State | NJ
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Zip | 08879-1546
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Country | US
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Telephone | 908-726-5433
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Fax | 844-471-3093
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN CVITKOVIC
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Credential | PA; PT; C.PED; CFO
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Telephone | 914-393-6993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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