# ATLANTIC MEDICAL REHABILITATION LLC

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

## Provider details

- **NPI number:** 1487852737
- **Authorized official:** DR. VIPUL V SHAH M.D. (PHYSICIAN)
- **Authorized official phone:** (908) 879-8202

## Contact information

- **Practice address:** 137 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2307
- **Practice address phone:** (908) 852-1887
- **Practice address fax:** (908) 852-0614
- **Mailing address:** 8 CARLISLE CT, CHESTER, NJ 07930-2058
- **Mailing address phone:** (908) 510-5081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 25MA05826300 | NJ | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/10/2007