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1655 Oak Tree Rd Ste 215-220, Edison, NJ 08820-2858 | |
(732) 662-5345 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1655 Oak Tree Rd Ste 215-220, Edison, 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 |
---|---|---|---|
1992443121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
Provider Name | Manthan Patel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528343076 PECOS PAC ID: 2567635782 Enrollment ID: I20130803000133 |
Provider Name | Priti Trivedi |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1821574385 PECOS PAC ID: 9032653555 Enrollment ID: I20240626000130 |
Mailing Address | Practice Location Address |
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1655 Oak Tree Rd Ste 215-220, Edison, NJ 08820-2858 Ph: (732) 662-5345 | 1655 Oak Tree Rd Ste 215-220, Edison, NJ 08820-2858 Ph: (732) 662-5345 |