# THE INSTITUTE OF ORTHOPAEDIC SURGERY AND SPORTS MEDICINE, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134154784
- **Authorized official:** DR. JASON WONG DO (PRESIDENT)
- **Authorized official phone:** (609) 242-6999

## Contact information

- **Practice address:** 731 LACEY RD, STE 4, FORKED RIVER, NJ 08731
- **Practice address phone:** (609) 242-6999
- **Practice address fax:** (609) 242-6922
- **Mailing address:** 731 LACEY RD, STE 4, FORKED RIVER, NJ 08731
- **Mailing address phone:** (609) 242-6999
- **Mailing address fax:** (609) 242-6922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 05/06/2008