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Organization
BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC
Active
Organization
BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC
Active
Other names
BOARD CERTIFIED ORTHOPEDIC SURGICAL SPECILISTS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HENDERSON MD (OWNER)
(404) 387-0092
Entity
Organization
Contact information
Practice address
2165 JONES RD, FORT LEE, NJ 07024-3202
(404) 387-0092
Mailing address
2165 JONES RD, FORT LEE, NJ 07024-3202
(404) 387-0092
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
08/09/2024
Last updated
10/16/2024
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