# ORTHOMD LLC

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

## Provider details

- **NPI number:** 1619757366
- **Authorized official:** ANDREW YANG MD (PRESIDENT)
- **Authorized official phone:** (734) 355-1166

## Contact information

- **Practice address:** 2175 LEMOINE AVE STE 401A, FORT LEE, NJ 07024-6019
- **Practice address phone:** (917) 242-4585
- **Practice address fax:** (917) 242-4585
- **Mailing address:** 2175 LEMOINE AVE STE 401A, FORT LEE, NJ 07024-6019
- **Mailing address phone:** (917) 242-4585
- **Mailing address fax:** (917) 993-6284

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 08/11/2024