Organization
NEW JERSEY ORTHOPEDIC AND SPORTS MEDICINE L.L.C.
Active
Organization
NEW JERSEY ORTHOPEDIC AND SPORTS MEDICINE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L BRANDON (OWNER/PRESIDENT)
(973) 334-4787
Entity
Organization
Contact information
Practice address
99 MADISON ST, NEWARK, NJ 07105-2107
(973) 334-4787
Mailing address
24 MERCHANT ST, NEWARK, NJ 07105-2847
(973) 344-4787
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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