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Organization
MATAWAN PHYSICAL THERAPY
Active
Organization
MATAWAN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SIMON (CO-OWNER)
(732) 970-7894
Entity
Organization
Contact information
Practice address
254 MAIN ST, MATAWAN, NJ 07747-3224
(732) 970-7894
Mailing address
254 MAIN ST, MATAWAN, NJ 07747-3224
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01445800
NJ
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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