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Organization
NORTH JERSEY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Active
Organization
NORTH JERSEY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR KHATIB MD (OWNER)
(973) 310-2972
Entity
Organization
Contact information
Practice address
1300 MAIN AVE STE 3A, CLIFTON, NJ 07011-2266
(973) 310-2972
(973) 382-7202
Mailing address
1300 MAIN AVE STE 3A, CLIFTON, NJ 07011-2266
(973) 310-2972
(973) 321-7429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
06/06/2019
Last updated
02/06/2023
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