Mr Serg Mari Sanchez Entise, BSPT | |
400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852 | |
(201) 575-0070 | |
Not Available |
Full Name | Mr Serg Mari Sanchez Entise |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 400 Passaic Ave, East Newark, 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 |
---|---|---|---|
1811107733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00994400 (New Jersey) | Primary |
Provider Name | Home Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295962835 PECOS PAC ID: 9931252848 Enrollment ID: O20090724000372 |
Provider Name | Holsman Physical Therapy And Rehabilitation Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629350467 PECOS PAC ID: 2567636442 Enrollment ID: O20111111000436 |
Provider Name | Holsman Physical Therapy And Wellness Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578816179 PECOS PAC ID: 2062666910 Enrollment ID: O20130131000341 |
Provider Name | Holsman Physical And Occupational Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114276441 PECOS PAC ID: 8426294455 Enrollment ID: O20130418000173 |
Mailing Address | Practice Location Address |
---|---|
Mr Serg Mari Sanchez Entise, BSPT 56 Broad St Apt 406, Bloomfield, NJ 07003-2373 Ph: (201) 575-0070 | Mr Serg Mari Sanchez Entise, BSPT 400 Passaic Ave, Apt 112, East Newark, NJ 07029-2852 Ph: (201) 575-0070 |
Shubhangi Thakar, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 203 N 3rd St Apt 1, East Newark, NJ 07029 Phone: 412-436-6512 |