| |
1 Bridge Plaza N, Ste 810, Fort Lee, Nj, NJ 07024-7110 | |
(201) 773-4644 | |
(201) 849-5154 |
Full Name | |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 1 Bridge Plaza N, Fort Lee, Nj, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255948444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1 Bridge Plaza N, Ste 810, Fort Lee, Nj, NJ 07024-7110 Ph: (201) 773-4644 | 1 Bridge Plaza N, Ste 810, Fort Lee, Nj, NJ 07024-7110 Ph: (201) 773-4644 |