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Organization
ACTIVE ORTHOPEDIC SPECIALISTS, LLC
Active
Organization
ACTIVE ORTHOPEDIC SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GROSS MD (OWNER)
(201) 343-2277
Entity
Organization
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Mailing address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA05362900
NJ
Other
Enumeration date
01/10/2012
Last updated
06/04/2012
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