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Organization
GARDEN STATE ORTHOPAEDICS AND SPORTS MEDICINE
Active
Organization
GARDEN STATE ORTHOPAEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC LESLIE KAHN MD (PARTNER)
(856) 616-2999
Entity
Organization
Contact information
Practice address
455 ROUTE 70 WEST, CHERRY HILL, NJ 08002
(856) 616-2999
(856) 616-1437
Mailing address
455 ROUTE 70 WEST, CHERRY HILL, NJ 08002
(856) 616-2999
(856) 616-1437
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5646804
—
NJ
01
—
CJ9376
RR MEDICARE
—
01
—
D87253
BLAIR MILL AMERIHEALTH
—
Enumeration date
11/17/2006
Last updated
08/22/2020
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