Organization Name: | ENGLEWOODKNEE & SPORTS MEDICINE P.C. |
NPI Number: | 1316133564 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT WILLIAM DOIDGE (ORTHROPEDIC) |
Mailing Address: | 370 Grand Ave Suite 100 Englewood |
State: | NJ US |
Postal Code: | 076314154 |
Phone Number: | 2075675700 |
Fax Number: | 2075678049 |
NPI Enumeration Date: | 09/21/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MB057438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |