Organization
GARDEN STATE ORTHOPAEDIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS J. HABERMAN C.P.O (PRESIDENT)
(201) 337-5566
Entity
Organization
Contact information
Practice address
9 POST RD, SUITE 0P-1, OAKLAND, NJ 07436-1618
(201) 337-5566
(201) 337-1456
Mailing address
9 POST RD, SUITE 0P-1, OAKLAND, NJ 07436-1618
(201) 337-5566
(201) 337-1456
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36877
AETNA PROVIDER NUMBER
NJ
05
—
3897206
—
NJ
Enumeration date
08/16/2005
Last updated
08/22/2020
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