Sports Extra PC
Sports Extra PC is a Sports Medicine (Family Medicine) Physician in Clark, New Jersey. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
67 Walnut Ave Ste 202Clark, NJ 07066-1640
Phone: (732) 388-7300
Fax: (732) 388-1330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X |
|---|
Record details
| NPI number | 1346296969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Gilsenan — Practice Owner · (732) 388-7300 |
| NPI enumerated | May 25, 2006 |
| Last updated in NPPES | October 18, 2007 |
| Mailing address | 67 Walnut Ave, Suite 202, Clark, NJ 07066-1640 |
Other providers in Clark
-
Michael Elliot Beams, DO
67 Walnut Ave, Clark, NJ 07066-1640 · (732) 388-7300
-
Michele Theresa Gilsenan, DO
67 Walnut Ave, Clark, NJ 07066-1640 · (732) 388-7300
-
Derrick Heydinger, DO
140 Central Ave Ste 700, Clark, NJ 07066-1121 · (973) 943-5042
-
Dr. Jerome Pumo Jr., DO, FACOFP
132 Westfield Ave Unit 1, Clark, NJ 07066-2453 · (732) 574-1777
-
Trinitas Regional Medical Center
67 Walnut Ave Ste 202, Clark, NJ 07066-1640 · (732) 815-9872