# ORTHOPAEDIC, SPORTS MEDICINE AND REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1720528409
- **Authorized official:** DR. STEVEN LISSER (MANAGING MEMBER)
- **Authorized official phone:** (609) 703-5097

## Contact information

- **Practice address:** 25 KILMER DR, BUILDING 3 SUITE 104, MORGANVILLE, NJ 07751-1564
- **Practice address phone:** (732) 617-9111
- **Mailing address:** 25 KILMER DR, BUILDING 3 SUITE 104, MORGANVILLE, NJ 07751-1564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MA08297500 | NJ | Yes |

## Other

- **Enumeration date:** 03/01/2017
- **Last updated:** 01/06/2025