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252 Columbia Tpke, Florham Park, NJ 07932-1248 | |
(973) 822-3338 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 252 Columbia Tpke, Florham Park, 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 |
---|---|---|---|
1104153907 | NPI | - | NPPES |
1205169885 | Other | NJ | NPI |
1992718530 | Other | NJ | NPI |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | 25MA06699400 (New Jersey) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 25MA06497300 (New Jersey) | Primary |
Provider Name | Mimi A Chang |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1992718530 PECOS PAC ID: 9335114214 Enrollment ID: I20040908000016 |
Mailing Address | Practice Location Address |
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252 Columbia Tpke, Florham Park, NJ 07932-1248 Ph: (973) 822-3338 | 252 Columbia Tpke, Florham Park, NJ 07932-1248 Ph: (973) 822-3338 |