| NPI | 1629419163 |
|---|---|
| Doing Business As | SPORTS MEDICINE 360 LLC |
| Entity Type | Organization |
| Authorized Contact | DINA DEGREGORIO Manager 973-748-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NJ 0400560133) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |