Organization
PROFESSIONAL SPORTS CARE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
1 BRANCA RD, EAST RUTHERFORD, NJ 07073-2121
(201) 933-1112
Mailing address
1 BRANCA RD, EAST RUTHERFORD, NJ 07073-2121
(201) 933-1112
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
09/18/2007
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