Active Orthopaedics and Sports Medicine, PA
NPI #1659326569 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1659326569
- Entity Type
- Organization
- Organization Name
- Active Orthopaedics and Sports Medicine, PA
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- May 23, 2006
- Last Updated
- Dec 16, 2008
Practice Location
- Address
- 25 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1960
- Phone
- (201) 343-2277
Authorized Official
- Name
- MICHAEL LEE GROSS, M.D.
- Title
- PRESIDENT/OWNER
- Phone
- (201) 358-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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