# PHYSIATRY MANAGEMENT SERVICES

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

## Provider details

- **NPI number:** 1275564502
- **Authorized official:** JO BOWEN (BILLING MANAGER)
- **Authorized official phone:** (609) 261-5755

## Contact information

- **Practice address:** 3111 ROUTE 38, PMB 120, MOUNT LAUREL, NJ 08054-9754
- **Practice address phone:** (856) 235-4828
- **Practice address fax:** (856) 642-0238
- **Mailing address:** 3111 ROUTE 38 BLDG\#11, PMB 120, MOUNT LAUREL, NJ 08054-9754
- **Mailing address phone:** (856) 235-4828
- **Mailing address fax:** (856) 642-0238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 03/30/2010