Organization
VAN GROUW ORTHOPAEDIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN VAN GROUW MD (DELEGATED OFFICIAL)
(201) 444-5770
Entity
Organization
Contact information
Practice address
44 GODWIN AVE, SUITE 200, MIDLAND PARK, NJ 07432-1969
(201) 444-5770
(201) 444-3746
Mailing address
44 GODWIN AVE, SUITE 200, MIDLAND PARK, NJ 07432-1969
(201) 444-5770
(201) 444-3746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB05590500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD5410
RR MDCR GROUP #
NJ
Enumeration date
08/07/2007
Last updated
06/24/2010
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