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Contact Information

ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
719 NORTH BEERS ST
SUITE C-1
HOLMDEL, NJ07733
 Phone: 732-888-2100
 Fax: 732-888-2188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS INC · (Female)

NPI Number 1679637052
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA07887100
  • NJ Medicaid 0082295
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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