Healthcare Provider Details

I. General information

NPI: 1295789857
Provider Name (Legal Business Name): ASSOCIATED ORTHOPAEDICS P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 04/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 STUYVESANT AVE 2ND FLOOR
UNION NJ
07083-6936
US

IV. Provider business mailing address

900 STUYVESANT AVE 2ND FLOOR
UNION NJ
07083-6936
US

V. Phone/Fax

Practice location:
  • Phone: 908-964-6600
  • Fax: 908-364-1025
Mailing address:
  • Phone: 908-964-6600
  • Fax: 908-364-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE TREONZE
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 908-964-6600