Organization
GARDEN STATE ORTHOPAEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC LESLIE KAHN MD (PARTNER)
(856) 616-2999
Entity
Organization
Contact information
Practice address
455 ROUTE 70 WEST, CHERRY HILL, NJ 08002
(856) 616-2999
(856) 616-1437
Mailing address
455 ROUTE 70 WEST, CHERRY HILL, NJ 08002
(856) 616-2999
(856) 616-1437
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5646804
—
NJ
01
—
CJ9376
RR MEDICARE
—
01
—
D87253
BLAIR MILL AMERIHEALTH
—
Enumeration date
11/17/2006
Last updated
08/22/2020
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