Organization
PHYSICAL INFINITY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE RAITSES D.O. (OWNER)
(201) 333-9300
Entity
Organization
Contact information
Practice address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(201) 333-9300
Mailing address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(201) 333-9300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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