Organization
NORTHLANDS ORTHOPAEDIC & SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT K MCINERNEY MD (PRESIDENT/OWNER)
(973) 694-2690
Entity
Organization
Contact information
Practice address
504 VALLEY RD, SUITE 200, WAYNE, NJ 07470-3534
(973) 694-2690
(973) 694-2692
Mailing address
504 VALLEY RD, SUITE 200, WAYNE, NJ 07470-3534
(973) 694-2690
(973) 694-2692
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA05626700
NJ
Other
Enumeration date
10/27/2006
Last updated
04/04/2008
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