# ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Orthopaedics and Sports Medicine Center. P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316065188
- **Authorized official:** NADER Q KASUM MD (MD PRES)
- **Authorized official phone:** (732) 548-7332

## Contact information

- **Practice address:** 1907 OAK TREE RD, SUITE 201, EDISON, NJ 08820-2070
- **Practice address phone:** (732) 548-7332
- **Practice address fax:** (732) 548-7350
- **Mailing address:** 1907 OAK TREE RD, SUITE 201, EDISON, NJ 08820-2070
- **Mailing address phone:** (732) 548-7332
- **Mailing address fax:** (732) 548-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | MA05400 | NJ | Yes |
| 207X00000X | Orthopaedic Surgery Physician | MA66200 | NJ | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 04/08/2022