Organization
ENDURANCE SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E FLORES M.D. (MANAGING MEMBER)
(609) 581-1700
Entity
Organization
Contact information
Practice address
1230 WHITEHORSE MERCERVILLE RD, HAMILTON, NJ 08619-3814
(609) 581-1700
Mailing address
1230 WHITEHORSE MERCERVILLE RD, HAMILTON, NJ 08619-3814
(609) 581-1700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08329600
NJ
2080S0010X
Pediatric Sports Medicine Physician
Primary
25MA08329600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08329600
MEDICAL LIC
NJ
01
—
D09206900
CDS
NJ
Enumeration date
10/26/2009
Last updated
03/07/2023
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