JERSEY SHORE SPORTS MEDICINE
Organization (NPI-2)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1154732907- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 10 W CONNECTICUT AVE, SOMERS POINT, NJ, 082441975
- Phone
- (609) 904-2565
- Fax
- (609) 904-2566
Specialties & Taxonomies
Family Medicine, Sports Medicine
Primary License: NJ #25MB08601300