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Organization
M & D THERAPY SERVICES LLC
Active
Organization
M & D THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV IWANISKI (PRESIDENT)
(732) 367-7391
Entity
Organization
Contact information
Practice address
670 N BEERS ST, HOLMDEL, NJ 07733-1516
(718) 986-1820
Mailing address
670 N BEERS ST, HOLMDEL, NJ 07733-1516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01382300
NJ
Other
Enumeration date
10/30/2012
Last updated
11/05/2012
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