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55 Eagle Rock Ave, East Hanover, NJ 07936-3143 | |
| (973) 397-5868 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 55 Eagle Rock Ave, East Hanover, 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 |
|---|---|---|---|
| 1770072142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Natty Bandasak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164964094 PECOS PAC ID: 1254611015 Enrollment ID: I20161213001998 |
| Provider Name | Jennifer M Boyle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356868178 PECOS PAC ID: 5799051181 Enrollment ID: I20200109002142 |
| Provider Name | Matthew Fung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689155798 PECOS PAC ID: 1052665825 Enrollment ID: I20220224000727 |
| Provider Name | Nicholas Dugan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851059661 PECOS PAC ID: 3274927645 Enrollment ID: I20220301000348 |
| Mailing Address | Practice Location Address |
|---|---|
220 W Jersey St Apt 5f, Elizabeth, NJ 07202-1319 Ph: (973) 379-0198 | 55 Eagle Rock Ave, East Hanover, NJ 07936-3143 Ph: (973) 397-5868 |
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 64 River Rd, East Hanover, NJ 07936 Phone: 973-428-1050 Fax: 973-428-1051 | |
Eric Shafer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Eagle Rock Ave Ste 201, East Hanover, NJ 07936 Phone: 973-887-9000 Fax: 973-887-3816 | |
Bridget Nadine Bielskie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Eagle Rock Ave, Suite 201, East Hanover, NJ 07936 Phone: 973-887-9000 Fax: 973-887-3816 | |
Marcus A Adams, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Eagle Rock Ave Ste 201, East Hanover, NJ 07936 Phone: 973-887-9000 Fax: 973-887-3816 | |
Gabriella Louise Rizzo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Eagle Rock Ave, East Hanover, NJ 07936 Phone: 973-887-9000 | |
Kwaku B Opoku-nsiah, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Eagle Rock Ave, East Hanover, NJ 07936 Phone: 973-887-9000 | |
Jinesh Gandhi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 Eagle Rock Ave Ste 201, East Hanover, NJ 07936 Phone: 973-887-9000 Fax: 973-887-3816 |