Organization
ACTIVE ORTHOPEDICS & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISAMARIE VOLINO (VP BUSINESS OPERATIONS)
(201) 343-2277
Entity
Organization
Contact information
Practice address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Mailing address
25 PROSPECT AVE, HACKENSACK, NJ 07601-1960
(201) 343-2277
(201) 343-7410
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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