Organization
JERSEY SHORE SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
801 A CENTRAL AVE, OCEAN CITY, NJ 08226
(609) 703-5097
Mailing address
801 A CENTRAL AVE, OCEAN CITY, NJ 08226
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB08601300
NJ
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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