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Organization
PROVERE PHYSICAL THERAPY - EAST HANOVER
Active
Organization
PROVERE PHYSICAL THERAPY - EAST HANOVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC HADDAD PT, DPT, CSCS (CO-OWNER)
(732) 221-7617
Entity
Organization
Contact information
Practice address
50 WILLIAMS PKWY, UNIT D, EAST HANOVER, NJ 07936-2114
(973) 233-7148
Mailing address
637 WYCKOFF AVE, PMB 395, WYCKOFF, NJ 07481-1438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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