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Organization
THE CENTER FOR SPORTS MEDICINE AND PHYSICAL THERAPY
Active
Organization
THE CENTER FOR SPORTS MEDICINE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN DEROSA (ACCOUNT MANAGER)
(201) 986-1003
Entity
Organization
Contact information
Practice address
1011 MAIN AVE, CLIFTON, NJ 07011-2333
(973) 777-0934
Mailing address
1011 MAIN AVE, CLIFTON, NJ 07011-2333
(973) 777-0934
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25MA07567400
NJ
Other
Enumeration date
08/23/2006
Last updated
07/21/2022
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