NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC NPI 1619025038

NPI Information

NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC is a specialist in Hackettstown, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC NPI is 1619025038. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

108 BILBY ROAD
SUITE 201
HACKETTSTOWN, NJ
ZIP 07840
Phone: (908) 684-3005
Fax: (908) 684-3301

The provider's authorized official is Doree Vandenbergh .
The authorized official title is Credentialer/director and has the following contact phone number (908) 684-3005.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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