Organization
ADVANCED REHABILIATION MEDICAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIPPE CHEMALY D.O. (PRESIDENT)
(973) 595-6066
Entity
Organization
Contact information
Practice address
401 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-2154
(973) 595-6066
(973) 595-1127
Mailing address
401 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-2154
(973) 595-6066
(973) 595-1127
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
62518
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7366701
—
NJ
Enumeration date
03/29/2007
Last updated
11/01/2007
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