Organization
COLLEGIATE SPORTS CARE, LLC
Active
Organization
COLLEGIATE SPORTS CARE, LLC
Active
Other names
Collegiate Orthopaedics and Sports Medicine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN GEHRMANN MD (OWNER)
(973) 200-7370
Entity
Organization
Contact information
Practice address
345 MAIN ST STE 201, MADISON, NJ 07940-2339
(973) 200-7370
(973) 822-7905
Mailing address
345 MAIN ST STE 201, MADISON, NJ 07940-2339
(973) 200-7370
(973) 822-7905
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06543600
NJ LICENSE
NJ
Enumeration date
06/07/2019
Last updated
06/07/2019
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