Advantage Sports Medicine LLC

Organization Multi-Specialty Clinic/Center · NPI 1922435395

Advantage Sports Medicine LLC provides Multi-Specialty Clinic/Center services in Elmwood Park, 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

67 Broadway
Elmwood Park, NJ 07407-1836 Not confirmed with CMS for 12 years — call before visiting
Phone: (201) 569-0010

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

Specialties & licences

Multi-Specialty Clinic/Center (primary)	Taxonomy 261QM1300X · Licence 25 MB07982100 (NJ)

Record details

NPI number	1922435395
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Thomas Bottiglieri — Owner/Physician · (201) 569-0010
NPI enumerated	October 1, 2013
Last updated in NPPES	January 21, 2014
Mailing address	Po Box 70176, Staten Island, NY 10307-0176