Organization
ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA M FOOR (ADMINISTRATOR)
(732) 741-2313
Entity
Organization
Contact information
Practice address
25 KILMER DR, BUILDING 3, SUITE 104, MORGANVILLE, NJ 07751-1564
(732) 741-2313
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(610) 547-1057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820910002
MEDICARE PTAN
NJ
Enumeration date
09/30/2014
Last updated
01/06/2025
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