Organization
MAM ORTHOPAEDICS, PA
Active
Other names
Sports Medicine and Orthopaedic Center of New Jersey, MEESE SPORTS MEDICINE AND ORTHOPAEDIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. MEESE M.D. (MEDICAL DOCTOR)
(201) 968-0508
Entity
Organization
Contact information
Practice address
17 ELM AVE, HACKENSACK, NJ 07601-4702
(201) 968-0508
(201) 968-0509
Mailing address
17 ELM AVE, HACKENSACK, NJ 07601-4702
(201) 968-0508
(201) 968-0509
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
255MA05232100
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA05232100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
06/24/2010
Last updated
03/04/2020
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