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Organization
MADISON PT OF NEW JERSEY, PC
Active
Organization
MADISON PT OF NEW JERSEY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY BONOMO MSPT (PRESIDENT)
(201) 594-9312
Entity
Organization
Contact information
Practice address
400 OLD HOOK RD, WESTWOOD, NJ 07675-2732
(201) 594-9312
(201) 907-0404
Mailing address
219 RICHMOND AVE, NEW MILFORD, NJ 07646-2517
(201) 594-9312
(201) 907-0404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
10/20/2009
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