Healthcare Provider Details

I. General information

NPI: 1548295413
Provider Name (Legal Business Name): NORTH JERSEY HAND SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BLOOMFIELD AVENUE SUITE 102
DENVILLE NJ
07834-2735
US

IV. Provider business mailing address

75 BLOOMFIELD AVENUE SUITE 102
DENVILLE NJ
07834-2735
US

V. Phone/Fax

Practice location:
  • Phone: 973-664-9899
  • Fax: 973-664-1875
Mailing address:
  • Phone: 973-664-9899
  • Fax: 973-664-1875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ABRAM E KIRSCHENBAUM
Title or Position: PRESIDENT
Credential: MD
Phone: 973-664-9899