Organization
GARDEN STATE ORTHOPEDIC AND SPINE ASSOCIATES LLC
Active
Parent organization
GARDEN STATE ORTHOPEDIC AND SPINE ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDEN STATE ORTHOPEDIC AND SPINE ASSOCIATES LLC
Authorized official
AMY LIU (MS)
(732) 494-1655
Entity
Organization
Contact information
Practice address
475 PROSPECT AVE STE 110, WEST ORANGE, NJ 07052-4197
(732) 494-1655
Mailing address
475 PROSPECT AVE STE 110, WEST ORANGE, NJ 07052-4197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
06/10/2013
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