| NPI | 1770655870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J NORDSTROM Owner 908-685-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA07898900) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |