Organization
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
Active
Organization
ORTHOPAEDIC AND SPORTS MEDICINE SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LOPEZ MD (OWNER)
(732) 888-2100
Entity
Organization
Contact information
Practice address
719 NORTH BEERS ST, SUITE C-1, HOLMDEL, NJ 07733
(732) 888-2100
(732) 888-2188
Mailing address
PO BOX 549, HOLMDEL, NJ 07733
(732) 888-2100
(732) 888-2188
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA07887100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082295
—
NJ
Enumeration date
12/20/2006
Last updated
08/22/2020
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