Whalio Doctors

NPI 1497708242

John A. Bostrom, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Paramus, NJ

Practice location

Address
610 Valley Health Plz, Paramus, NJ 07652-3607
Phone
(201) 265-8200
Fax
(201) 265-0366
Mailing address
846 Berkley St APT. C, New Milford, NJ 07646-5405

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 25MA02455300 (NJ)

Registry record

NPI
1497708242
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 May 2006
Record last updated
2 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.