# EVIDENCE BASED SURGERY, LLC

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

## Provider details

- **NPI number:** 1508535816
- **Authorized official:** DR. VASILEIOS KOSTARAS M.D. (PRESIDENT)
- **Authorized official phone:** (908) 490-0036

## Contact information

- **Practice address:** 1100 CLIFTON AVE, CLIFTON, NJ 07013-3631
- **Practice address phone:** (973) 778-0100
- **Mailing address:** 45 S PARK PL \# 354, MORRISTOWN, NJ 07960-3924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021