Provider Demographics
NPI:1063778140
Name:ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE MANAGER
Authorized Official - Phone:908-757-1520
Mailing Address - Street 1:205 MAY ST.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3267
Mailing Address - Country:US
Mailing Address - Phone:908-757-1520
Mailing Address - Fax:908-769-1388
Practice Address - Street 1:3 HOSPITAL PLAZA
Practice Address - Street 2:SUITE 411
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2190
Practice Address - Country:US
Practice Address - Phone:732-360-2400
Practice Address - Fax:732-360-2030
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY IP.A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty