Organization
NORTH JERSEY ORTHOPEDIC SPORTS TRAUMA INSTITUTE E LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GREENBLUM (MD)
(201) 794-6008
Entity
Organization
Contact information
Practice address
15-01 BROADWAY STE 20, FAIR LAWN, NJ 07410-6003
(847) 275-3633
Mailing address
15-01 BROADWAY STE 20, FAIR LAWN, NJ 07410-6003
(847) 275-3633
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA05165000
NJ
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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