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Organization
SPORTS MEDICINE CENTER OF BERGEN, PA
Active
Organization
SPORTS MEDICINE CENTER OF BERGEN, PA
Active
Parent organization
1609990019
Organization subpart
Yes
Provider details
NPI number
Legal business name
1609990019
Authorized official
KIMBERLY HUNTER (OFFICE MGR)
(201) 488-0488
Entity
Organization
Contact information
Practice address
410 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1107
(908) 516-8300
(908) 516-8308
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
(201) 343-5325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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