Organization
ELITE PT LLC
Active
Organization
ELITE PT LLC
Active
Other names
Elite Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MASOUD DPT (OWNER)
(908) 590-2620
Entity
Organization
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 732-5959
Mailing address
2619 FREDERICK TER, UNION, NJ 07083-5603
(908) 590-2620
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
08/16/2021
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