Organization
DERAMO MEDICAL LLC
Active
Other names
Deramo Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GEBHARDT (PRACTICE ADMINISTRATOR)
(201) 510-9999
Entity
Organization
Contact information
Practice address
5300 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5616
(201) 510-9999
Mailing address
5300 BERGENLINE AVE STE 302, WEST NEW YORK, NJ 07093-5616
(201) 510-9999
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
06/04/2024
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