Welcome

Welcome to the Hand Surgery and Rehabilitation Center of New Jersey. We are a comprehensive medical/surgical practice specializing in the diagnosis, treatment and rehabilitation of injuries and diseases of the upper extremity in patients of all ages.

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Request an Appointment

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Patient Information
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Date of Birth *
How may we contact you?
Home Phone
Work Phone
Cell Phone
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Insurance Information
Is the Policy Holder the same as the Patient	Yes No
Policy Holder First Name
Policy Holder Last Name
Health Insurance Plan *
Group Number *
Health Insurance # *
Appointment Information
Reason for Visit *
Urgency *
Preferred Appt. Time *	Morning Afternoon
Preferred Location *
Preferred Doctor *

IMPORTANT NEWS: Beginning April 5, there will be a fee charged for completion of disability forms... read more

Register l Request an Appointment l Patient Info l Contact Info l Personnel l Therapy l Surgical Suite l Insurance & Billing
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856-983-HAND
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