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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