# PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN, LLC

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

## Provider details

- **NPI number:** 1578848651
- **Authorized official:** MR. MAREK SULZYNSKI (ADMINISTRATOR)
- **Authorized official phone:** (609) 588-8600

## Contact information

- **Practice address:** 828 NEWTOWN YARDLEY ROAD, A, NEWTOWN, PA 18940
- **Practice address phone:** (609) 588-8600
- **Practice address fax:** (609) 588-8602
- **Mailing address:** 828 NEWTOWN YARDLEY ROAD, A, NEWTOWN, PA 18940
- **Mailing address phone:** (609) 588-8600
- **Mailing address fax:** (609) 588-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA08725900 | NJ | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD433529 | PA | Yes |
| 225100000X | Physical Therapist | 40QA01357000 | NJ | — |
| 225100000X | Physical Therapist | MD019816 | PA | — |

## Other

- **Enumeration date:** 10/20/2011
- **Last updated:** 01/11/2012