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Organization

MATTEA AD PC

Active
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Organization

MATTEA AD PC

Active
Other names
Center IMT Fair Lawn
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID BERENBAUM PT (PHYSICAL THERAPIST)
(201) 791-6351
Entity
Organization

Contact information

Practice address
33-11 BROADWAY, FAIR LAWN, NJ 07410-4634
(201) 791-6351
(201) 791-6007
Mailing address
33-11 BROADWAY, FAIR LAWN, NJ 07410-4634
(201) 791-6351
(201) 791-6007

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
11/29/2007
Last updated
11/07/2013
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