Organization
GARDEN STATE ORTHOCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL VICTOR EHRLICH M.D. (PRESIDENT)
(888) 721-6238
Entity
Organization
Contact information
Practice address
321 ESSEX ST, HACKENSACK, NJ 07601-2066
(888) 721-6238
(888) 721-6238
Mailing address
68 BOULDER RIDGE RD, SCARSDALE, NY 10583-3150
(917) 886-5545
(718) 795-9003
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA09089400
NJ
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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