# DML SPORTS MEDICINE, L.L.C

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

## Provider details

- **NPI number:** 1912065962
- **Authorized official:** MICHAEL LORETI M.D. (PRESIDENT)
- **Authorized official phone:** (201) 390-3080

## Contact information

- **Practice address:** 96 MANNER AVE, GARFIELD, NJ 07026-1418
- **Practice address phone:** (973) 722-0099
- **Mailing address:** PO BOX 266, WYCKOFF, NJ 07481-0266
- **Mailing address phone:** (201) 390-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020
