Organization
ADVANCED SPORTS MEDICINE AND PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE CARMEAN FOSS DC (CO OWNER)
(973) 616-4555
Entity
Organization
Contact information
Practice address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
(973) 616-4555
(973) 616-3430
Mailing address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457
(973) 616-4555
(973) 616-3430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00465700
NJ
111N00000X
Chiropractor
38MC00465800
NJ
207R00000X
Internal Medicine Physician
1285678045
NJ
225100000X
Physical Therapist
Primary
40QA01130300
NJ
225100000X
Physical Therapist
40QA01152400
NJ
225X00000X
Occupational Therapist
46TR00647900
NJ
Other
Enumeration date
10/10/2006
Last updated
03/10/2016
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