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Organization
ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Active
Organization
ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA M FOOR (ADMINISTRATOR)
(732) 741-2313
Entity
Organization
Contact information
Practice address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
(732) 936-8445
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
(732) 936-8445
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820910001
PTAN
NJ
Enumeration date
07/08/2006
Last updated
01/06/2025
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