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Organization
GARDEN STATE SPORTS MEDICINE LLC
Active
Organization
GARDEN STATE SPORTS MEDICINE LLC
Active
Other names
GS Sports Med
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN VALVANO DO (OWNER)
(862) 217-4355
Entity
Organization
Contact information
Practice address
3799 ROUTE 46 STE 110, PARSIPPANY, NJ 07054-1060
(724) 381-1313
Mailing address
3799 US HIGHWAY 46 STE 110, PARSIPPANY, NJ 07054-1060
(812) 217-4355
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
NULL
Other
Enumeration date
12/17/2024
Last updated
04/04/2025
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