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Organization
PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC
Active
Organization
PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK SULZYNSKI (ADMINISTRATOR)
(609) 588-8600
Entity
Organization
Contact information
Practice address
828 NEWTOWN YARDLEY ROAD, A, NEWTOWN, PA 18940
(609) 588-8600
(609) 588-8602
Mailing address
828 NEWTOWN YARDLEY ROAD, A, NEWTOWN, PA 18940
(609) 588-8600
(609) 588-8602
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA08725900
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD433529
PA
225100000X
Physical Therapist
40QA01357000
NJ
225100000X
Physical Therapist
MD019816
PA
Other
Enumeration date
10/20/2011
Last updated
01/11/2012
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