Organization
THE CENTER FOR SPORTS MEDICINE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN DEROSA (ACCOUNT MANAGER)
(201) 986-1003
Entity
Organization
Contact information
Practice address
1011 MAIN AVE, CLIFTON, NJ 07011-2333
(973) 777-0934
Mailing address
1011 MAIN AVE, CLIFTON, NJ 07011-2333
(973) 777-0934
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25MA07567400
NJ
Other
Enumeration date
08/23/2006
Last updated
07/21/2022
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