# INTEGRATIVE REHABILITATION MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174869358
- **Authorized official:** ANDREW D SHILLER MD (PRESIDENT)
- **Authorized official phone:** (201) 345-7079

## Contact information

- **Practice address:** 680 KINDERKAMACK RD, SUITE \#205, ORADELL, NJ 07649-1600
- **Practice address phone:** (201) 345-7079
- **Practice address fax:** (845) 547-0345
- **Mailing address:** 680 KINDERKAMACK RD, SUITE \#205, ORADELL, NJ 07649-1600
- **Mailing address phone:** (201) 345-7079
- **Mailing address fax:** (845) 547-0345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA08800900 | NJ | Yes |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 12/17/2012