Organization
ATLANTIC SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHIMANT BALAR D.O. (PRESIDENT)
(732) 276-6873
Entity
Organization
Contact information
Practice address
8 BRIAN CT, FARMINGDALE, NJ 07727-4205
(732) 276-6873
Mailing address
8 BRIAN CT, FARMINGDALE, NJ 07727-4205
(732) 276-6873
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
25MB07900200
NJ
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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