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Organization

ORTHO PHAD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL RIEBER MD, FACS, FAAOS (OWNER)
(973) 715-5923
Entity
Organization

Contact information

Practice address
9 HADRIAN DR, LIVINGSTON, NJ 07039-3419
(973) 715-5923
Mailing address
9 HADRIAN DR, LIVINGSTON, NJ 07039-3419
(973) 715-5923

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/27/2024
Last updated
12/27/2024
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