| Professional Sports Medicine Associates L.l.c | |
|
67 Broadway Elmwood Park NJ 07407-1836 | |
| (201) 569-0010 | |
| (201) 794-8411 |
| Full Name | Professional Sports Medicine Associates L.l.c |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 67 Broadway, Elmwood Park, New Jersey |
| Authorized Official Name and Position | Thomas Bottiglieri (PRESIDENT) |
| Authorized Official Contact | 2015690010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Sports Medicine Associates L.l.c Po Box 70176 Staten Island NY 10307-0176 Ph: (201) 569-0010 | Professional Sports Medicine Associates L.l.c 67 Broadway Elmwood Park NJ 07407-1836 Ph: (201) 569-0010 |
| NPI Number | 1043457211 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 02/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043457211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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