Organization
NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC
Active
Organization
NORTH JERSEY SPORTS MEDICINE & ORTHOPEDIC CENTER, LLC
Active
Other names
The Orthopedic Institute of New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A DEFALCO JR. DO (PHYSICIAN-OWNER)
(908) 684-3005
Entity
Organization
Contact information
Practice address
218 RIDGEDALE AVE STE 202, CEDAR KNOLLS, NJ 07927-2109
(908) 684-3005
(908) 684-3301
Mailing address
108 BILBY RD STE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
(908) 684-3301
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MB069711
NJ
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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