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Organization
BACHARACH INSTITUTE FOR REHABILITATION, INC.
Active
Organization
BACHARACH INSTITUTE FOR REHABILITATION, INC.
Active
Other names
Bacharach Rehab Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY F. PRICE CPAM (DIRECTOR PATIENT FINANCIAL SERVICES)
(609) 748-5454
Entity
Organization
Contact information
Practice address
61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
(609) 652-7000
(609) 748-7755
Mailing address
61 W JIMMIE LEEDS ROAD, POMONA, NJ 08240-0723
(609) 652-7000
(609) 748-7755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NJ
225400000X
Rehabilitation Practitioner
Primary
—
NJ
363L00000X
Nurse Practitioner
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665930
MEDICARE ID-TYPE UNSPECIFIED
NJ
05
—
7070004
—
NJ
01
—
CB9450
MEDICARE B RAILROAD
NJ
Enumeration date
11/15/2006
Last updated
11/02/2009
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