Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 12, 2007
License(s)
245200 (NY), 25MB09389800 (NJ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 140 PARK AVE | Florham Park, NJ 07932 | 973-404-9800 |
| MAILING | 95 CRYSTAL RUN RD | Middletown, NY 10941-7001 | 845-703-6999 |
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