Organization
REHABILITATION ASSOCIATES
Active
Other names
Delaware Back Pain & Sports Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY LESLIE BAKST D.O. (PRESIDENT/CEO)
(302) 529-8783
Entity
Organization
Contact information
Practice address
2600 GLASGOW AVENUE, SUITE 210, NEWARK, DE 19702
(302) 529-8783
(302) 529-1586
Mailing address
2600 GLASGOW AVENUE, SUITE 210, NEWARK, DE 19702
(302) 529-8783
(302) 529-1586
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1999203833
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147504
—
DE
01
—
26774
COVENTRY
DE
01
—
CC5686
RAILROAD
DE
Enumeration date
06/21/2010
Last updated
06/21/2010
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