Provider Demographics
NPI:1891012464
Name:CJ MEDICAL ASSOCIATES CORPORATION
Entity Type:Organization
Organization Name:CJ MEDICAL ASSOCIATES CORPORATION
Other - Org Name:GREENTREE FOOT AND ANKLE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HAJNOSZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:216-789-4366
Mailing Address - Street 1:1074 GREENTREE ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3140
Mailing Address - Country:US
Mailing Address - Phone:412-563-1440
Mailing Address - Fax:412-563-0740
Practice Address - Street 1:1074 GREENTREE ROAD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3140
Practice Address - Country:US
Practice Address - Phone:412-563-1440
Practice Address - Fax:412-563-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006174213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty