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Organization
SPORTSMED PHYSICAL THERAPY, LLC
Active
Organization
SPORTSMED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT KHALAF (MEMBER/OFFICER)
(201) 803-7695
Entity
Organization
Contact information
Practice address
784 FRANKLIN AVE, SUITE 230, FRANKLIN LAKES, NJ 07417-1306
(201) 819-0090
(201) 819-0014
Mailing address
784 FRANKLIN AVE, SUITE 230, FRANKLIN LAKES, NJ 07417-1306
(201) 819-0090
(201) 819-0014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00313700
NJ
111N00000X
Chiropractor
38MC00619200
NJ
111N00000X
Chiropractor
38MC00630100
NJ
225100000X
Physical Therapist
40QA01154700
NJ
Other
Enumeration date
04/19/2011
Last updated
04/20/2011
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