Organization
ANDOVER ORTHOPAEDIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BACALOGLU (BILLING MANAGER)
(973) 579-7443
Entity
Organization
Contact information
Practice address
452 US HIGHWAY 206, MONTAGUE, NJ 07827
(973) 293-7513
(973) 293-7571
Mailing address
280 NEWTON SPARTA RD, SUITE 4, NEWTON, NJ 07860-2775
(973) 293-7513
(973) 293-7571
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/13/2006
Last updated
07/11/2007
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