Organization
EAST SUBURBAN SPORTS MEDICINE CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E. BONAROTI PT, ATC (VICE PRESIDENT)
(724) 327-7099
Entity
Organization
Contact information
Practice address
4115 WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1887
(724) 327-7099
(724) 327-0173
Mailing address
4115 WILLIAM PENN HWY, MURRYSVILLE, PA 15668-1887
(724) 327-7099
(724) 327-0173
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/23/2005
Last updated
08/22/2020
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