Organization
OSTEOPATHIC REHAB ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH B PATEL DO (CEO/MEDICAL DIRECTOR)
(551) 655-0953
Entity
Organization
Contact information
Practice address
282 SAINT PAULS AVE, JERSEY CITY, NJ 07306-5085
(201) 422-2556
(866) 265-3540
Mailing address
282 SAINT PAULS AVE, JERSEY CITY, NJ 07306-5085
(201) 422-2556
(866) 265-3540
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450747054
NJ DEPARTMENT OF THE TREASURY
NJ
Enumeration date
06/29/2022
Last updated
11/18/2022
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