Organization
EDISON ORTHOPAEDIC INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANINE JAMIESON D.O. (PRESIDENT)
(908) 834-8343
Entity
Organization
Contact information
Practice address
3 PROGRESS ST, SUITE 106, EDISON, NJ 08820-1180
(908) 834-8343
Mailing address
3 PROGRESS ST, SUITE 106, EDISON, NJ 08820-1180
(908) 834-8343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MB50296
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219520001
CIGNA GROUP NUMBER
NJ
01
—
200011599
RAILROAD MEDICARE NUMBER
NJ
01
—
4608535
AETNA GROUP NUMBER
NJ
Enumeration date
03/22/2007
Last updated
04/28/2010
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