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Organization
TOTAL ORTHOPEDICS SPINE AND SPORTS MEDICINE NJ LLC
Active
Organization
TOTAL ORTHOPEDICS SPINE AND SPORTS MEDICINE NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RUOTOLO MD (MEMBER)
(631) 766-5846
Entity
Organization
Contact information
Practice address
16 E 29TH ST, BAYONNE, NJ 07002-4603
(855) 321-6784
Mailing address
16 E 29TH ST, BAYONNE, NJ 07002-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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