Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 4, 2006
License(s)
25MA07303400 (NJ), 208884-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 161 FORT WASHINGTON AVE 2ND FLOOR | New York, NY 10032-3729 | 212-305-5561 |
| MAILING | PO BOX 26691 | New York, NY 10087-6691 | 212-305-7319 |
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