Organization
ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
Active
Organization
ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC
Active
Other names
Total Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TASSO (CREDENTIALING MANAGER)
(516) 795-3033
Entity
Organization
Contact information
Practice address
16 E 29TH ST FL 2, BAYONNE, NJ 07002-4603
(201) 971-7070
(201) 339-2109
Mailing address
12 UNQUA RD, MASSAPEQUA, NY 11758-6727
(516) 795-3033
(516) 654-9358
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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