Advanced Sports Medicine And Pt

NPI 1528155561

Information of Advanced Sports Medicine And Pt

The NPI 1528155561 is an Organization type. NPI No 1528155561 belongs to Advanced Sports Medicine And Pt. Advanced Sports Medicine And Pt specializes in Physical Therapist. is practising at 18 Newark Pompton Tpke, Riverdale, New Jersey 07457. You can also contact him via phone number (973) 616-4555.

Practice address located

  • 18 Newark Pompton Tpke
  • Riverdale, New Jersey 07457
  • (973) 616-4555
  • (973) 616-4555

Mailling address located

  • 18 Newark Pompton Tpke
  • Riverdale, New Jersey 07457
  • (973) 616-4555
  • (973) 616-3430
Advanced Sports Medicine And Pt is PECOS enrolled.
NPI No 1528155561
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No225100000XPhysical Therapist40QA011524New Jersey
No111N00000XChiropractor38MC004657New Jersey
No111N00000XChiropractor38MC004658New Jersey
No225X00000XOccupational Therapist46TR006479New Jersey
No207R00000XInternal Medicine1285678045New Jersey
Yes225100000XPhysical Therapist40QA011303New Jersey
Identifier for this provider
StateIdentifierTypeIssuer
NJ043572Medicare PINn/a
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