Elite Sports Medicine And Wellness Llc | |
46 Union Ave Cresskill NJ 07626-2125 | |
(201) 431-5115 | |
(201) 399-7697 |
Full Name | Elite Sports Medicine And Wellness Llc |
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Speciality | Family Medicine - Sports Medicine |
Location | 46 Union Ave, Cresskill, New Jersey |
Authorized Official Name and Position | Shai Shoshani (OWNER/PHYSICIAN) |
Authorized Official Contact | 2014315115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Sports Medicine And Wellness Llc 46 Union Ave Cresskill NJ 07626-2125 Ph: (201) 431-5115 | Elite Sports Medicine And Wellness Llc 46 Union Ave Cresskill NJ 07626-2125 Ph: (201) 431-5115 |
NPI Number | 1306350830 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 11/20/2017 |
Identifier | Type | State | Issuer |
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1306350830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 25MA09267900 (New Jersey) | Primary |