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Organization
SPORTS MEDICINE CENTER OF BERGEN, PA
Active
Organization
SPORTS MEDICINE CENTER OF BERGEN, PA
Active
Other names
Excel Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY FLINK P.T. (VICE PRESIDENT)
(201) 488-0488
Entity
Organization
Contact information
Practice address
136 HOPPER AVE., WALDWICK, NJ 07463
(201) 488-0488
Mailing address
136 HOPPER AVE., WALDWICK, NJ 07463
(201) 488-0488
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044081
LEGACY
NJ
Enumeration date
04/22/2008
Last updated
05/24/2016
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