# ADVANCED SPORTS MEDICINE AND PT

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

## Provider details

- **NPI number:** 1528155561
- **Authorized official:** DR. CHRISTINE CARMEAN FOSS DC (CO OWNER)
- **Authorized official phone:** (973) 616-4555

## Contact information

- **Practice address:** 18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
- **Practice address phone:** (973) 616-4555
- **Practice address fax:** (973) 616-3430
- **Mailing address:** 18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
- **Mailing address phone:** (973) 616-4555
- **Mailing address fax:** (973) 616-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00465700 | NJ | — |
| 111N00000X | Chiropractor | 38MC00465800 | NJ | — |
| 207R00000X | Internal Medicine Physician | 1285678045 | NJ | — |
| 225100000X | Physical Therapist | 40QA01130300 | NJ | Yes |
| 225100000X | Physical Therapist | 40QA01152400 | NJ | — |
| 225X00000X | Occupational Therapist | 46TR00647900 | NJ | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/10/2016