# CMD NJ PC

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

## Provider details

- **NPI number:** 1851959225
- **Authorized official:** MARY LEGG (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (347) 584-8903

## Contact information

- **Practice address:** 177 N DEAN ST, ENGLEWOOD, NJ 07631-2533
- **Practice address phone:** (201) 510-3777
- **Practice address fax:** (201) 501-3778
- **Mailing address:** 177 N DEAN ST, ENGLEWOOD, NJ 07631-2533
- **Mailing address phone:** (201) 510-3777
- **Mailing address fax:** (201) 501-3778

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019