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General NPI Number Information
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NPI Number | 1871642900
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Entity Type | Organization
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Legal Business Name | ORTHOSURG PC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 100 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6136
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Country | US
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Telephone | 973-971-5532
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Fax |
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Provider Business Mailing Address
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Address Line | 127 PERSHING BLVD
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City | LAVALLETTE
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State | NJ
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Zip | 08735-2836
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Country | US
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Telephone | 908-797-8011
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLLEEN DEVITA
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Credential | RN BSN CNOR CRNFA
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Telephone | 908-797-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 26NO06769800
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License Number State | NJ
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