Organization
GARDEN STATE ORTHOPAEDIC ASSOCAITES, P.A.
Active
Parent organization
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Authorized official
DR. KENNETH A LEVITSKY M.D. (PRESIDENT)
(201) 791-4434
Entity
Organization
Contact information
Practice address
28-12 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 475-8482
Mailing address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3913
(201) 791-4434
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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