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Organization

ORTHOPAEDICS UNLIMITED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY PAT CARDINALE (PRACTICE ADMINISTRATOR)
(973) 577-5200
Entity
Organization

Contact information

Practice address
445 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2919
(973) 577-2000
(973) 577-5201
Mailing address
445 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2919
(973) 577-5200
(976) 577-5201

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MA67795
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136755
MEDICARE GROUP PTAN
NJ
01
1508812330
MEDICARE INDIVIDUAL NPI
NJ
01
1649444589
MEDICARE DME NPI
NJ
Enumeration date
04/22/2008
Last updated
02/03/2022
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