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Organization
BRIDGEWAY REHABILITATION SERVICES
Active
Organization
BRIDGEWAY REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY STORCH (DIRECTOR)
(908) 355-7886
Entity
Organization
Contact information
Practice address
70 WEST GRAND STREET, ELIZABETH, NJ 07202-1205
(908) 469-6517
(908) 469-6519
Mailing address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 355-7886
(908) 355-6668
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
204010248
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4547209
—
NJ
Enumeration date
03/19/2007
Last updated
02/09/2017
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