Organization
URGENT ORTHO CARE
Active
Parent organization
PREMIER ORTHOPAEDICS &SPORTS MEDICINE,PC
Other names
Urgent Ortho Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER ORTHOPAEDICS &SPORTS MEDICINE,PC
Authorized official
DR. HOWARD BARUCH MD (MEDICAL DIRECTOR)
(201) 647-0254
Entity
Organization
Contact information
Practice address
403 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 833-9500
Mailing address
403 GRAND AVE, ENGLEWOOD, NJ 07631-4104
(201) 833-9500
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417387572
ALIZA BLACK
NJ
Enumeration date
10/31/2018
Last updated
10/31/2018
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