# ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopaedic Sports Medicine and Rehabilitation Center, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821774076
- **Authorized official:** JAMES DWYER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (732) 741-2313

## Contact information

- **Practice address:** 2-12 CORBETT WAY, EATONTOWN, NJ 07724-4251
- **Practice address phone:** (848) 257-1800
- **Practice address fax:** (848) 257-1155
- **Mailing address:** 2-12 CORBETT WAY, EATONTOWN, NJ 07724-4251
- **Mailing address phone:** (848) 257-1800
- **Mailing address fax:** (848) 257-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2023
- **Last updated:** 01/06/2025