Organization
SPORTSMED PT OF CONNECTICUT PLLC
Active
Other names
SportsMed Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL AZAR RN, BSN (VP OF RCM)
(201) 857-0527
Entity
Organization
Contact information
Practice address
4775 MAIN ST, BRIDGEPORT, CT 06606-1877
(201) 345-5905
Mailing address
266 HARRISTOWN RD STE 304, GLEN ROCK, NJ 07452-3321
(201) 345-5905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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