Organization
SPORTS MEDICINE CENTER OF BERGEN, PA
Active
Other names
Excel Orthopedic Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY FLINK P.T. (VICE PRESIDENT)
(201) 488-0488
Entity
Organization
Contact information
Practice address
136 HOPPER AVE., WALDWICK, NJ 07463
(201) 488-0488
Mailing address
136 HOPPER AVE., WALDWICK, NJ 07463
(201) 488-0488
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044081
LEGACY
NJ
Enumeration date
04/22/2008
Last updated
05/24/2016
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