Individual
MILTON PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED
Contact information
Practice address
14M READING RD, EDISON, NJ 08817
(732) 910-4542
Mailing address
14M READING RD, EDISON, NJ 08817-2183
(732) 910-4542
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
2255A2300X
Athletic Trainer
Primary
—
—
225800000X
Recreation Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
05/10/2018
Last updated
12/19/2018
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