Organization
PERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE, LLC
Active
Organization
PERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DICKERSON M.D. (OWNER)
(732) 567-7350
Entity
Organization
Contact information
Practice address
780 ROUTE 37 W STE 330, TOMS RIVER, NJ 08755-5064
(732) 691-4898
(732) 608-8950
Mailing address
780 ROUTE 37 W STE 330, TOMS RIVER, NJ 08755-5064
(732) 691-4898
(732) 608-8950
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA07911500
NJ
Other
Enumeration date
04/26/2009
Last updated
02/20/2017
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