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Organization

PARAMUS SPORTS MEDICINE & REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANALICIA BASTAS MBA (PRACTICE MANAGER)
(201) 952-6409
Entity
Organization

Contact information

Practice address
205 ROBIN RD STE 118, PARAMUS, NJ 07652-1424
(201) 225-1511
(201) 225-9731
Mailing address
205 ROBIN RD STE 118, PARAMUS, NJ 07652-1424

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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