| Organization Name: | SPORTS MEDICINE CENTER OF BERGEN, PA |
| NPI Number: | 1124310388 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GARY FLINK (VICE PRESIDENT) |
| Mailing Address: | 32 Piermont Rd Cresskill |
| State: | NJ US |
| Postal Code: | 076262148 |
| Phone Number: | 2015670044 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2011 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |