ENGLEWOODKNEE & SPORTS MEDICINE P.C. NPI 1316133564

NPI Information

ENGLEWOODKNEE & SPORTS MEDICINE P.C. is a specialist in Englewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENGLEWOODKNEE & SPORTS MEDICINE P.C. NPI is 1316133564. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

370 GRAND AVE
SUITE 100
ENGLEWOOD, NJ
ZIP 07631-154
Phone: (207) 567-5700
Fax: (207) 567-8049

The provider's authorized official is Robert William Doidge .
The authorized official title is Orthropedic and has the following contact phone number (201) 567-5700.

The CLIA number assigned to this NPI record is 31D2195367 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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