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Contact Information

BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC
2165 JONES RD
FORT LEE, NJ07024-3202
 Phone: 404-387-0092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC

NPI # 1154152338
LBN Legal business name BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC
Authorized official TIMOTHY HENDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2024
Last updated 10/16/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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