Organization
MONTCLAIR ORTHOPAEDIC GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE E MALLOY (OFFICE MANAGER)
(973) 746-2200
Entity
Organization
Contact information
Practice address
200 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1528
(973) 746-2200
(973) 429-2174
Mailing address
200 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1528
(973) 746-2200
(973) 429-2174
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
12/29/2010
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