Shaun Astorga, | |
15 Bloomfield Ave, Montclair, NJ 07042 | |
(973) 744-2770 | |
Not Available |
Full Name | Shaun Astorga |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 15 Bloomfield Ave, Montclair, 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 |
---|---|---|---|
1013317957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01565200 (New Jersey) | Primary |
Provider Name | The Randolph Pain Relief Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639492507 PECOS PAC ID: 7416072111 Enrollment ID: O20100918000011 |
Mailing Address | Practice Location Address |
---|---|
Shaun Astorga, 15 Bloomfield Ave, Montclair, NJ 07042 Ph: (973) 744-2770 | Shaun Astorga, 15 Bloomfield Ave, Montclair, NJ 07042 Ph: (973) 744-2770 |
Ms. Barbara Carol Foley, P.T., F.P. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 232 Grove St, Montclair, NJ 07042 Phone: 973-746-9415 | |
Ms. Laura Ann Crandall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Park St, Montclair, NJ 07043 Phone: 973-744-8205 | |
Ms. Suzanne Goodman, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19 Elm St, Montclair, NJ 07042 Phone: 973-798-6800 Fax: 973-798-6801 | |
Professional Orthopedic And Sports Physical Therapy Of Nj, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 691 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-893-5082 | |
David Kwon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15 Bloomfield Ave, Lower Level, Montclair, NJ 07042 Phone: 973-744-2770 | |
Michael Joseph Habersaat, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Greenwood Ave, Montclair, NJ 07042 Phone: 973-746-2424 |