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Organization
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Active
Organization
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Active
Parent organization
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Authorized official
DR. KENNETH A. LEVITSKY MD (PRESIDENT)
(201) 791-4434
Entity
Organization
Contact information
Practice address
22 MADISON AVE STE 202, PARAMUS, NJ 07652-2721
(201) 587-7767
Mailing address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3920
(201) 791-4434
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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