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Organization

OPTIMUM ORTHOPEDICS POMPTON PLAINS LLC

Active
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Organization

OPTIMUM ORTHOPEDICS POMPTON PLAINS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER MARTIN (BILLING MANAGER)
(201) 523-9207
Entity
Organization

Contact information

Practice address
566 ROUTE 23, POMPTON PLAINS, NJ 07444-1420
(201) 523-9207
Mailing address
566 ROUTE 23, POMPTON PLAINS, NJ 07444-1420

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000
NEW BUSINESS DO NOT HAVE MEDICAR UPIN YET
Enumeration date
03/25/2015
Last updated
03/25/2015
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