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Organization
NJ REHAB PAIN CLINIC PC
Active
Organization
NJ REHAB PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE C MARCON PT (OWNER)
(201) 390-3730
Entity
Organization
Contact information
Practice address
845 BROAD AVE, RIDGEFIELD, NJ 07657-1002
(201) 390-3730
Mailing address
845 BROAD AVE, RIDGEFIELD, NJ 07657-1002
(201) 390-3730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01074500
NJ
Other
Enumeration date
05/16/2016
Last updated
05/18/2016
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