Sports Management Institute LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1629419163

Sports Management Institute LLC is a Sports Medicine (Family Medicine) Physician in Bloomfield, New Jersey. Licensed in New Jersey. Registered with an NPI since 2013.

Licensed in: NJ
In the registry since: 2013

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

14-20 Watsessing Ave
Bloomfield, NJ 07003-4611
Phone: (973) 748-0067

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary)	Taxonomy 207QS0010X · Licence 0400560133 (NJ)

Record details

NPI number	1629419163
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dina Degregorio — Manager · (973) 748-0067
Other names	Sports Medicine 360 Llc
NPI enumerated	July 12, 2013
Last updated in NPPES	July 12, 2013
Mailing address	14-20 Watsessing Ave, Bloomfield, NJ 07003-4611