NPI | 1477933323 |
---|---|
Doing Business As | CSANJ-SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | LINDA C FLOCCO Executive Director 267-425-9538 |
Organization Subpart ? | No |
Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine |
Enumeration Date | 2015-06-05 |
Last Update Date | 2015-06-05 |