Carlo Ucol, PT | |
360 W Clinton St, Haledon, NJ 07508-1528 | |
(973) 901-3592 | |
(973) 400-4124 |
Full Name | Carlo Ucol |
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Gender | Male |
Speciality | Physical Therapist |
Location | 360 W Clinton St, Haledon, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942333471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01094500 (New Jersey) | Primary |
Provider Name | Peak Motion Physical Therapy, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114342938 PECOS PAC ID: 4981827086 Enrollment ID: O20140519000114 |
Mailing Address | Practice Location Address |
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Carlo Ucol, PT 6 Highland Dr, Livingston, NJ 07039-2809 Ph: (973) 931-6207 | Carlo Ucol, PT 360 W Clinton St, Haledon, NJ 07508-1528 Ph: (973) 901-3592 |
Haledon Physical Therapy & Sports Medicine Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Haledon Ave, Suite B, Haledon, NJ 07508 Phone: 973-689-6112 Fax: 973-689-6114 | |
Haledon Advanced Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Haledon Ave, First Floor Suite D, Haledon, NJ 07508 Phone: 201-447-0346 Fax: 201-447-1582 |