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Organization
PROHEALTH & FITNESS
Active
Organization
PROHEALTH & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A NUSSBAUM PHD, MSPT, SCS, CSCS (CLINICAL DIRECTOR)
(212) 600-4781
Entity
Organization
Contact information
Practice address
11 EARDLEY RD, EDISON, NJ 08817-3030
(732) 718-4761
(800) 655-3780
Mailing address
180 W END AVE, NEW YORK, NY 10023-4902
(212) 600-4781
(800) 655-3780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA00851900
NJ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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