| Organization Name: | ANDOVER ORTHOPAEDIC SURGERY |
| NPI Number: | 1538102157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN BACALOGLU (BILLING MANAGER) |
| Mailing Address: | 452 Us Highway 206 Montague |
| State: | NJ US |
| Postal Code: | 07827 |
| Phone Number: | 9732937513 |
| Fax Number: | 9732937571 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 07/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |