| Elite Sports Medicine And Wellness Llc | |
|
46 Union Ave Cresskill NJ 07626-2125 | |
| (201) 431-5115 | |
| (201) 399-7697 |
| Full Name | Elite Sports Medicine And Wellness Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 46 Union Ave, Cresskill, New Jersey |
| Authorized Official Name and Position | Shai Shoshani (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2014315115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Sports Medicine And Wellness Llc 46 Union Ave Cresskill NJ 07626-2125 Ph: (201) 431-5115 | Elite Sports Medicine And Wellness Llc 46 Union Ave Cresskill NJ 07626-2125 Ph: (201) 431-5115 |
| NPI Number | 1306350830 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306350830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 25MA09267900 (New Jersey) | Primary |