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Organization

INNOVATIVE ORTHOPEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA JEAN ELARDO-REPAK (OFFICE MANAGER)
(732) 667-5000
Entity
Organization

Contact information

Practice address
495 UNION AVE, SUITE 1B, MIDDLESEX, NJ 08846-1962
(732) 667-5000
(908) 722-2200
Mailing address
495 UNION AVE, SUITE 1B, MIDDLESEX, NJ 08846-1962
(732) 667-5000
(908) 722-2200

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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