Organization
NORTH JERSEY SPORTS MEDICINE AND ORTHOPEDIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOREE VANDENBERGH (CREDENTIALER/DIRECTOR)
(908) 684-3005
Entity
Organization
Contact information
Practice address
108 BILBY ROAD, SUITE 201, HACKETTSTOWN, NJ 07840
(908) 684-3005
(908) 684-3301
Mailing address
108 BILBY ROAD, SUITE 201, HACKETTSTOWN, NJ 07840
(908) 684-3005
(908) 684-3301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB06971100
NJ
174400000X
Specialist
25MB06992500
NJ
Other
Enumeration date
01/08/2007
Last updated
11/06/2009
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