Individual
DR. THOMAS SAL BOTTIGLIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 GRAND AVE STE 101, ENGLEWOOD, NJ 07631-4968
(201) 569-4445
(212) 304-7050
Mailing address
622 W 168TH ST PH 111130, NEW YORK, NY 10032-3720
(212) 305-9137
(212) 304-7050
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
237430
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
25MB07982100
NJ
Other
Enumeration date
07/26/2006
Last updated
03/21/2023
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