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General NPI Number Information
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NPI Number | 1184578346
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOPEDIC AND SPORTS MEDICINE INSTITUTE PC
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 3107 JOHN F. KENNEDY BLVD
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City | NORTH BERGEN
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State | NJ
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Zip | 07047-2378
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Country | US
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Telephone | 732-720-2555
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Fax | 732-720-2556
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Provider Business Mailing Address
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Address Line | 301 PROFESSIONAL VIEW DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-7904
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Country | US
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Telephone | 732-720-2555
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Fax | 732-720-2556
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL J GRELLER
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Credential |
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Telephone | 732-720-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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