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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