Organization
ORTHPAEDIC & SPORTS MEDICINE ASSOCIATES,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA ESFORMES M.D. (PRESIDENT)
(201) 261-6351
Entity
Organization
Contact information
Practice address
440 OLD HOOK RD, EMERSON, NJ 07630-2302
(201) 261-6351
(201) 261-2805
Mailing address
440 OLD HOOK RD, EMERSON, NJ 07630-2302
(201) 261-6351
(201) 261-2805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07735800
NJ
174400000X
Specialist
Primary
41635
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2332
RAILROAD MEDICARE
NJ
Enumeration date
10/09/2007
Last updated
01/03/2013
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