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900 Easton Ave Ste 22, Somerset, NJ 08873-1760 | |
(732) 846-9400 | |
(732) 846-9404 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 900 Easton Ave Ste 22, Somerset, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396376927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Poonam Gopal Patel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851612444 PECOS PAC ID: 1456475771 Enrollment ID: I20190718000925 |
Provider Name | Ghilene Joseph |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033795000 PECOS PAC ID: 3577970615 Enrollment ID: I20210407002147 |
Provider Name | Mikayla L Shamy |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427791656 PECOS PAC ID: 2163804709 Enrollment ID: I20220729001005 |
Provider Name | David Caughey |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710682398 PECOS PAC ID: 2668830381 Enrollment ID: I20230627003521 |
Mailing Address | Practice Location Address |
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900 Easton Ave Ste 22, Somerset, NJ 08873-1760 Ph: (732) 846-9400 | 900 Easton Ave Ste 22, Somerset, NJ 08873-1760 Ph: (732) 846-9400 |