Organization
CMD NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LEGG (CREDENTIALING COORDINATOR)
(347) 584-8903
Entity
Organization
Contact information
Practice address
177 N DEAN ST, ENGLEWOOD, NJ 07631-2533
(201) 510-3777
(201) 501-3778
Mailing address
177 N DEAN ST, ENGLEWOOD, NJ 07631-2533
(201) 510-3777
(201) 501-3778
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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