Organization
MCCULLOCH ORTHOPAEDIC SURGICAL SERVICES OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MCCULLOCH (COO/CFO)
(734) 645-3899
Entity
Organization
Contact information
Practice address
801 KENNEDY BLVD, BAYONNE, NJ 07002-2810
(212) 355-5555
(877) 992-0798
Mailing address
520 FRANKLIN AVE STE 211, GARDEN CITY, NY 11530-5815
(212) 355-5555
(877) 992-0798
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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