| NPI | 1932197563 |
|---|---|
| Doing Business As | NJ SPORTS MEDICINE TEMPLE |
| Entity Type | Organization |
| Authorized Contact | TRACEY J CLARK Director, Government And Payer Rela 856-596-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2017-02-13 |