East Suburban Sports Medicine Center, Ltd.

NPI #1750384988 in Murrysville, Pennsylvania

Provider Information

NPI Number: 1750384988
Entity Type: Organization
Organization Name: East Suburban Sports Medicine Center, Ltd.
Primary Specialty: Specialist
Enumeration Date: May 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 4115 WILLIAM PENN HWY
City: Murrysville
State: Pennsylvania
ZIP Code: 15668-1887
Phone: (724) 327-7099

Authorized Official

Name: MR. JOHN E. BONAROTI, PT, ATC
Title: VICE PRESIDENT
Phone: (724) 327-7099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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