Organization
TOTAL ORTHOPEDICS SPINE AND SPORTS MEDICINE NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES RUOTOLO MD (MEMBER)
(631) 766-5846
Entity
Organization
Contact information
Practice address
16 E 29TH ST, BAYONNE, NJ 07002-4603
(855) 321-6784
Mailing address
16 E 29TH ST, BAYONNE, NJ 07002-4603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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