NPI 1700915592

North Jersey Pediatric Orthpedics PA

Organisation Pediatric Orthopaedic Surgery Physician Ridgewood, NJ

Practice location

Address: 140 Chestnut St Suite 201, Ridgewood, NJ 07450-2599
Phone: (210) 445-2457
Fax: (201) 445-9050

Authorised official

Name: Douglas Avella
Title: Owner
Phone: (201) 445-2457

Registered specialties

Pediatric Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XP3100X Licence MA39087 (NJ)

Other Orthopaedic Surgery providers in New Jersey →

Registry record

NPI: 1700915592
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.