Organization
PREMIER ORTHOPAEDICS &SPORTS MEDICINE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD M BARUCH MD (PRESIDENT)
(201) 833-9500
Entity
Organization
Contact information
Practice address
663 PALISADE AVE, SUITE 302, CLIFFSIDE PARK, NJ 07010-3012
(201) 943-9100
(201) 943-7308
Mailing address
111 GALWAY PL, TEANECK, NJ 07666-3606
(201) 833-9500
(201) 862-0095
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
08/18/2006
Last updated
12/07/2009
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