Organization
DIFELICE ORTHOPAEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY S DIFELICE MD (OWNER)
(212) 606-1844
Entity
Organization
Contact information
Practice address
140 E RIDGEWOOD AVE, SUITE 175S, PARAMUS, NJ 07652-3917
(212) 606-1844
(212) 746-8744
Mailing address
PO BOX 626, GREAT RIVER, NY 11739-0626
(212) 606-1844
(212) 746-8744
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA09393500
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
02/18/2016
Last updated
10/07/2024
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