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Organization
THE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization
THE CENTER FOR PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LLOYD (CREDENTIALING COORDINATOR)
(732) 219-6501
Entity
Organization
Contact information
Practice address
776 SHREWSBURY AVE, STE. 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Mailing address
776 SHREWSBURY AVE, STE. 203, TINTON FALLS, NJ 07724-3006
(732) 219-0333
(732) 219-6526
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA62353
NJ
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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