Atlantic Sports Medicine LLC
Organization Active NPI Sports Medicine (Internal Medicine) Physician · Farmingdale, NJ
NPI 1306229943 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1306229943
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Internal Medicine) Physician 207RS0010X
- License
- 25MB07900200 (NJ)
- Legal business name
- ATLANTIC SPORTS MEDICINE LLC
- Practice address
- 8 Brian CT
Farmingdale, NJ 07727-4205 - Phone
- (732) 276-6873
- NPI assigned
- Jul 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Dhimant Balar, D.O.
- Title
- President
- Phone
- (732) 276-6873
National Provider Directory
Locations
38 Taylor Ave
Ste 2
Manasquan, NJ 08736
Phone (631) 806-8474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician |
207RS0010X | 25MB07900200 | NJ | Yes |
Addresses
Primary practice location
8 Brian CT
Farmingdale, NJ 07727-4205
Mailing address
8 Brian CT
Farmingdale, NJ 07727-4205
Phone (732) 276-6873
Other providers in Farmingdale, NJ
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- Sallyanne Bevere
- Bio-Mechanical Technologies, Inc.
- Nancy Lee Bloom
- Hannah Broomall
- Crystal L Burkert
All providers in Farmingdale, NJ · Sports Medicine (Internal Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.