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Organization
AMERICAN ORTHOPEDIC AND SPORTS MEDICINE PA
Active
Organization
AMERICAN ORTHOPEDIC AND SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN C DEROSA (ACCOUNT MANAGER)
(201) 986-1003
Entity
Organization
Contact information
Practice address
30 W CENTURY RD, PARAMUS, NJ 07652-1433
(201) 986-1003
(201) 986-1680
Mailing address
30 W CENTURY RD, PARAMUS, NJ 07652-1433
(201) 986-1003
(201) 986-1680
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25MA04269600
NJ
Other
Enumeration date
08/18/2006
Last updated
05/28/2009
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