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Organization

EASTERN ORTHOPEDIC ASSOCIATES, MD PA

Active
Parent organization
EASTERN ORTHOPEDICS,MD,PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN ORTHOPEDICS,MD,PA
Authorized official
MELISSA M LOCKWOOD (PRACTICE MANAGER)
(201) 836-5332
Entity
Organization

Contact information

Practice address
222 CEDAR LANE, SUITE 120, TEANECK, NJ 07666
(201) 836-5332
(201) 836-4002
Mailing address
222 CEDAR LANE, SUITE 120, TEANECK, NJ 07666
(201) 836-5332
(201) 836-4002

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA03477300
NJ
207X00000X
Orthopaedic Surgery Physician
25MA04787900
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
25MA05444400
NJ

Other

Enumeration date
01/15/2008
Last updated
07/27/2023
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