# TOTAL ORTHOPEDICS SPINE AND SPORTS MEDICINE NJ LLC

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

## Provider details

- **NPI number:** 1851142467
- **Authorized official:** DR. CHARLES RUOTOLO MD (MEMBER)
- **Authorized official phone:** (631) 766-5846

## Contact information

- **Practice address:** 16 E 29TH ST, BAYONNE, NJ 07002-4603
- **Practice address phone:** (855) 321-6784
- **Mailing address:** 16 E 29TH ST, BAYONNE, NJ 07002-4603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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