Provider Demographics
NPI:1144368119
Name:ORTHOPEDIC ASSOCIATES OF THE GREATER LEHIGH VALLEY
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOCIATES OF THE GREATER LEHIGH VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-859-5585
Mailing Address - Street 1:755 MEMORIAL PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2748
Mailing Address - Country:US
Mailing Address - Phone:908-859-5585
Mailing Address - Fax:908-859-3990
Practice Address - Street 1:755 MEMORIAL PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-2748
Practice Address - Country:US
Practice Address - Phone:908-859-5585
Practice Address - Fax:908-859-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies