Organization
GOTHAM CITY ORTHOPEDICS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN LOUIS LAGER M.D. (OWNER)
(973) 928-1325
Entity
Organization
Contact information
Practice address
50 MOUNT PROSPECT AVE, SUITE 104, CLIFTON, NJ 07013-1900
(973) 928-1325
(973) 365-2371
Mailing address
50 MOUNT PROSPECT AVE, SUITE 104, CLIFTON, NJ 07013-1900
(973) 928-1325
(973) 365-2371
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08001500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP5412
RAILROAD
NJ
Enumeration date
03/16/2009
Last updated
05/09/2013
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