MEDICARE: NORTH JERSEY HAND SURGERY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2086S0105X	Surgery of the Hand (Surgery) Physician
2	225XH1200X	Hand Occupational Therapist
3	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1548295413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH JERSEY HAND SURGERY PA

Provider Business Mailing Address
First Line	:	75 BLOOMFIELD AVENUE
Second Line	:	SUITE 102
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2735
Country	:	US
Telephone Number	:	973-664-9899
Fax Number	:	973-664-1875

Provider Business Practice Location Address
First Line	:	75 BLOOMFIELD AVENUE
Second Line	:	SUITE 102
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2735
Country	:	US
Telephone Number	:	973-664-9899
Fax Number	:	973-664-1875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABRAM E KIRSCHENBAUM
Credential	:	MD
Telephone Number	:	973-664-9899

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/16/2014

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