# NEW JERSEY SPORTS MEDICINE AND PERFORMANCE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437332749
- **Authorized official:** DR. MARC SILBERMAN M.D. (OWNER)
- **Authorized official phone:** (908) 647-6464

## Contact information

- **Practice address:** 689 VALLEY RD STE 104, GILLETTE, NJ 07933-1906
- **Practice address phone:** (908) 647-6464
- **Practice address fax:** (908) 647-6445
- **Mailing address:** 689 VALLEY RD STE 104, GILLETTE, NJ 07933-1906
- **Mailing address phone:** (908) 647-6464
- **Mailing address fax:** (908) 647-6445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | MA07016200 | NJ | Yes |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 12/10/2007