Organization
CLIFTON SPORTS MEDICINE & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER PONZINI D.C. (MANAGER)
(973) 595-6444
Entity
Organization
Contact information
Practice address
1233 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 595-6444
Mailing address
1233 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 595-6444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00619200
NJ
111N00000X
Chiropractor
Primary
38MC00630100
NJ
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
25MB06381000
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA01282900
NJ
Other
Enumeration date
08/21/2008
Last updated
01/06/2009
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