Organization
ORTHOPEDIC SPECIALIST GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DINA M MATTURRO (MANAGER)
(973) 429-0055
Entity
Organization
Contact information
Practice address
20 WATSESSING AVE, BLOOMFIELD, NJ 07003-4613
(973) 429-0055
Mailing address
PO BOX 301, BLOOMFIELD, NJ 07003-0301
(973) 429-0055
(973) 429-0090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03547500
NJ
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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