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701 State Route 440 Suite 21, Jersey City, NJ 07304 | |
(201) 315-9859 | |
(201) 433-4772 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 701 State Route 440 Suite 21, Jersey City, 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 |
---|---|---|---|
1801133103 | NPI | - | NPPES |
Provider Name | Elizabeth B Divinagracia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588855308 PECOS PAC ID: 0941297774 Enrollment ID: I20040426001164 |
Provider Name | Ricardo E Erlano |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881617066 PECOS PAC ID: 3577654060 Enrollment ID: I20090922000558 |
Provider Name | Eric A Oliver |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205158748 PECOS PAC ID: 9436323649 Enrollment ID: I20120904000643 |
Provider Name | Ritu J Dungarani |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295176543 PECOS PAC ID: 6709163892 Enrollment ID: I20170427000074 |
Mailing Address | Practice Location Address |
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701 State Route 440 Suite 21, Jersey City, NJ 07304 Ph: (201) 993-9344 | 701 State Route 440 Suite 21, Jersey City, NJ 07304 Ph: (201) 315-9859 |