Provider Demographics
NPI:1467623876
Name:CENTER FOR ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA
Entity Type:Organization
Organization Name:CENTER FOR ORTHOPAEDIC SURGERY & SPORTS MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:THROWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:908-232-6650
Mailing Address - Street 1:202 ELMER ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090
Mailing Address - Country:US
Mailing Address - Phone:908-232-6650
Mailing Address - Fax:908-232-5828
Practice Address - Street 1:202 ELMER ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090
Practice Address - Country:US
Practice Address - Phone:908-232-6650
Practice Address - Fax:908-232-5828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ041182OtherNATIONAL CMS