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General NPI Number Information
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NPI Number | 1881586329
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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 | 07/18/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 9 HOSPITAL DR STE 14
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City | TOMS RIVER
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State | NJ
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Zip | 08755-6425
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Country | US
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Telephone | 732-341-6226
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Fax |
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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 |
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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 | 732-720-2538
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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