Edward B Self Jr Md Facs Pa
LBN: Specialty Orthopaedics Of New Jersey, Pa
Edward B Self Jr Md Facs Pa is an health care organization with primary practice located at 1124 E Ridgewood Ave 201, Ridgewood NJ 07450-3915. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Specialty Orthopaedics Of New Jersey, Pa can be contacted via phone (201) 447-1188, or through Rudman, David P via phone (201) 447-1188.
Contact Information
Primary practice address
1124 E Ridgewood Ave 201
Ridgewood NJ 07450-3915
Phone: (201) 447-1188
Fax: (201) 447-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA33233 | New Jersey |
| Other Service Providers / Specialist | 174400000X | 25MA07771200 | New Jersey |
Profile Details
| NPI number | 1174580807 |
|---|---|
| LBN Legal business name | Specialty Orthopaedics Of New Jersey, Pa |
| DBA Doing business as | Edward B Self Jr Md Facs Pa |
| Authorized official | Rudman, David P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Oct 7th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174580807 | NPPES |
| New Jersey | Other | 085563 | SPECIALTY ORTHOPAEDICS |
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