Organization
FAMILY PM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN SHAPOSHNIKOV (OWNER)
(732) 546-1383
Entity
Organization
Contact information
Practice address
300 CRAIG RD STE 204, MANALAPAN, NJ 07726-8742
(732) 546-1383
Mailing address
300 CRAIG RD STE 204, MANALAPAN, NJ 07726-8742
(732) 546-1383
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
05/18/2025
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