Organization
BAYSIDE ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK S LARSEN I D.O. (DR.)
(732) 966-6317
Entity
Organization
Contact information
Practice address
780 ROUTE 37 W STE 330, TOMS RIVER, NJ 08755-5059
(732) 966-6317
(732) 998-8086
Mailing address
780 ROUTE 37 W STE 330, TOMS RIVER, NJ 08755-5059
(732) 966-6317
(732) 998-8086
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MB069402
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050503
—
NJ
Enumeration date
05/23/2012
Last updated
02/15/2016
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