# EASTERN ORTHOPEDIC ASSOCIATES, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EASTERN ORTHOPEDICS,MD,PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144406521
- **Legal business name:** EASTERN ORTHOPEDICS,MD,PA
- **Authorized official:** MELISSA M LOCKWOOD (PRACTICE MANAGER)
- **Authorized official phone:** (201) 836-5332

## Contact information

- **Practice address:** 222 CEDAR LANE, SUITE 120, TEANECK, NJ 07666
- **Practice address phone:** (201) 836-5332
- **Practice address fax:** (201) 836-4002
- **Mailing address:** 222 CEDAR LANE, SUITE 120, TEANECK, NJ 07666
- **Mailing address phone:** (201) 836-5332
- **Mailing address fax:** (201) 836-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 25MA03477300 | NJ | — |
| 207X00000X | Orthopaedic Surgery Physician | 25MA04787900 | NJ | — |
| 207X00000X | Orthopaedic Surgery Physician | 25MA05444400 | NJ | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 07/27/2023