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Organization
TRINITY REHAB SOMERSET PA
Active
Organization
TRINITY REHAB SOMERSET PA
Active
Parent organization
TRINITY REHAB SOMERSET PA
Other names
Trinity Rehab Piscataway
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY REHAB SOMERSET PA
Authorized official
TONYA GAVRIELIDES (AO)
(732) 219-5700
Entity
Organization
Contact information
Practice address
1396 CENTENNIAL AVE UNIT A-B, PISCATAWAY, NJ 08854-4318
(732) 219-5700
(732) 334-3004
Mailing address
328 NEWMAN SPRINGS RD, RED BANK, NJ 07701-5654
(732) 219-5700
(732) 334-3004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245789064
BCBS
NJ
Enumeration date
05/24/2022
Last updated
05/24/2022
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