# GARDEN STATE SPORTS MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GS Sports Med
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043027634
- **Authorized official:** KEVIN VALVANO DO (OWNER)
- **Authorized official phone:** (862) 217-4355

## Contact information

- **Practice address:** 3799 ROUTE 46 STE 110, PARSIPPANY, NJ 07054-1060
- **Practice address phone:** (724) 381-1313
- **Mailing address:** 3799 US HIGHWAY 46 STE 110, PARSIPPANY, NJ 07054-1060
- **Mailing address phone:** (812) 217-4355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |

## Other

- **Enumeration date:** 12/17/2024
- **Last updated:** 04/04/2025