Organization
ORTHOPAEDIC SPORTS MEDICINE AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEGOWSKI (OPERATIONS)
(609) 703-5097
Entity
Organization
Contact information
Practice address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA06025200
NJ
Other
Enumeration date
05/04/2016
Last updated
01/06/2025
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