# TOTAL HEALTH PHYSICAL MEDICINE & REHABILITATION CENTER LLC

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

## Provider details

- **NPI number:** 1679633671
- **Authorized official:** DR. MICHAEL GEORGE CARBONE (PRESIDENT)
- **Authorized official phone:** (973) 377-6327

## Contact information

- **Practice address:** 171 RIDGEDALE AVE, SUITE A, FLORHAM PARK, NJ 07932-1764
- **Practice address phone:** (973) 377-6327
- **Mailing address:** 171 RIDGEDALE AVE, SUITE A, FLORHAM PARK, NJ 07932-1764
- **Mailing address phone:** (973) 377-6327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NN0400X | Neurology Chiropractor | — | NULL | — |
| 111NN0400X | Neurology Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084S0010X | Sports Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0010X | Sports Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 213ES0000X | Sports Medicine Podiatrist | — | NULL | — |
| 213ES0000X | Sports Medicine Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/06/2010