Provider Demographics
NPI:1376615104
Name:ORTHOPEDIC DIAGNOSTIC & TREATMENT CTR INC
Entity Type:Organization
Organization Name:ORTHOPEDIC DIAGNOSTIC & TREATMENT CTR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-221-4848
Mailing Address - Street 1:4600 SMITH RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45212
Mailing Address - Country:US
Mailing Address - Phone:513-221-4848
Mailing Address - Fax:513-872-7825
Practice Address - Street 1:4600 SMITH ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:NORWOOD
Practice Address - State:OH
Practice Address - Zip Code:45212
Practice Address - Country:US
Practice Address - Phone:513-221-4848
Practice Address - Fax:513-872-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty