Organization
J&R PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER RUDZINSKI P.T. (PARTNER)
(201) 858-0786
Entity
Organization
Contact information
Practice address
415 AVENUE A, BAYONNE, NJ 07002-1504
(201) 858-0786
(201) 858-0786
Mailing address
415 AVENUE A, BAYONNE, NJ 07002-1504
(201) 858-0786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00517500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2523576
UNITED HEALTHCARE ID#
NJ
01
—
DE9058
RAILROAD MEDICARE GROUP #
NJ
Enumeration date
09/16/2006
Last updated
08/22/2020
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