Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRO FORM SPORTS MEDICINE AND WELLNESS ASSOCIATES
Active OrganizationSports Medicine (EM) · RUTHERFORD, NJ
Registration Details
- NPI Number
- 1235432972
- Provider Type
- Organization
- NPI Issued
- Dec 20, 2010 (15.337397950965 yrs)
- Last Updated
- Dec 20, 2010
- License
-
25MA08835000 (NJ)
Practice Information
- Address
-
201 ROUTE 1711TH FLOORRUTHERFORD, NJ, 070702574Browse NJ providers · Browse ZIP 07070
- Phone
- 2015498846
- Fax
- 2015498839
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.