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Organization
SPORTSMED PT LLC
Active
Organization
SPORTSMED PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL AZAR RN (BILLING DIRECTOR)
(201) 857-0527
Entity
Organization
Contact information
Practice address
266 HARRISTOWN RD STE 200, GLEN ROCK, NJ 07452-3354
(201) 445-7000
Mailing address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/17/2018
Last updated
03/09/2026
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