Provider Demographics
NPI:1386131555
Name:ORTHOCARE PAIN AND REHABILITATION MEDICINE LLC
Entity type:Organization
Organization Name:ORTHOCARE PAIN AND REHABILITATION MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:KARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-454-6436
Mailing Address - Street 1:10 WILLOW RD # 252
Mailing Address - Street 2:
Mailing Address - City:MAPLE SHADE
Mailing Address - State:NJ
Mailing Address - Zip Code:08052-1609
Mailing Address - Country:US
Mailing Address - Phone:609-454-6436
Mailing Address - Fax:609-645-5807
Practice Address - Street 1:10 WILLOW RD STE 252
Practice Address - Street 2:
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-1609
Practice Address - Country:US
Practice Address - Phone:609-454-6436
Practice Address - Fax:844-359-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-13
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ25MA09463300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty