# PREMIER ORTHOPAEDICS &SPORTS MEDICINE,PC

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

## Provider details

- **NPI number:** 1386758423
- **Authorized official:** HOWARD M BARUCH MD (PRESIDENT)
- **Authorized official phone:** (201) 833-9500

## Contact information

- **Practice address:** 663 PALISADE AVE, SUITE 302, CLIFFSIDE PARK, NJ 07010-3012
- **Practice address phone:** (201) 943-9100
- **Practice address fax:** (201) 943-7308
- **Mailing address:** 111 GALWAY PL, TEANECK, NJ 07666-3606
- **Mailing address phone:** (201) 833-9500
- **Mailing address fax:** (201) 862-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 12/07/2009