| Therapro-corf, Llc | |
|
9225 Kennedy Blvd North Bergen NJ 07047-5361 | |
| (201) 869-2701 | |
| (201) 869-2717 |
| Full Name | Therapro-corf, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9225 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Ravi Tikoo (CEO) |
| Authorized Official Contact | 9175368940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapro-corf, Llc 9225 Kennedy Blvd North Bergen NJ 07047-5361 Ph: (201) 869-2701 | Therapro-corf, Llc 9225 Kennedy Blvd North Bergen NJ 07047-5361 Ph: (201) 869-2701 |
| NPI Number | 1043497571 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 04/04/2013 |
| Medicare PECOS PAC ID | 4587748017 |
|---|---|
| Medicare Enrollment ID | O20080222000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043497571 | NPI | - | NPPES |
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