Provider Demographics
NPI:1598939977
Name:ADVANCED ORTHOPEDICS AND HAND SURGERY INSTITUTE, PA
Entity Type:Organization
Organization Name:ADVANCED ORTHOPEDICS AND HAND SURGERY INSTITUTE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOBADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-942-1315
Mailing Address - Street 1:504 VALLEY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3534
Mailing Address - Country:US
Mailing Address - Phone:973-942-1315
Mailing Address - Fax:973-942-8724
Practice Address - Street 1:504 VALLEY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3534
Practice Address - Country:US
Practice Address - Phone:973-942-1315
Practice Address - Fax:973-942-8724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07106700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6717920001Medicare NSC