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9 Harbor Front Ct, Elizabeth, NJ 07206-1951 | |
(718) 509-9888 | |
(718) 509-6144 |
Full Name | |
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Type | Facility |
Speciality | Rehabilitation Practitioner |
Location | 9 Harbor Front Ct, Elizabeth, 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 |
---|---|---|---|
1154063154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Provider Name | Ralph Cuartero |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265566103 PECOS PAC ID: 2466508551 Enrollment ID: I20220907002850 |
Provider Name | Windy Tubalado |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639599525 PECOS PAC ID: 7618192857 Enrollment ID: I20230201001367 |
Mailing Address | Practice Location Address |
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9 Harbor Front Ct, Elizabeth, NJ 07206-1951 Ph: (718) 509-9888 | 9 Harbor Front Ct, Elizabeth, NJ 07206-1951 Ph: (718) 509-9888 |