# AMERICAN ORTHOPEDIC AND SPORTS MEDICINE PA

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

## Provider details

- **NPI number:** 1720192891
- **Authorized official:** JOANN C DEROSA (ACCOUNT MANAGER)
- **Authorized official phone:** (201) 986-1003

## Contact information

- **Practice address:** 30 W CENTURY RD, PARAMUS, NJ 07652-1433
- **Practice address phone:** (201) 986-1003
- **Practice address fax:** (201) 986-1680
- **Mailing address:** 30 W CENTURY RD, PARAMUS, NJ 07652-1433
- **Mailing address phone:** (201) 986-1003
- **Mailing address fax:** (201) 986-1680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 25MA04269600 | NJ | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 05/28/2009