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
Fax: (201) 447-8935
Website:
Authorized official contact:
Name: Rudman, David P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174580807 NPPES
New Jersey Other 085563 SPECIALTY ORTHOPAEDICS

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