Organization
CENTER FOR COGNITIVE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL SWIDRYK MD (PRESIDENT OWNER)
(732) 842-6729
Entity
Organization
Contact information
Practice address
403 RIVER RD, FAIR HAVEN, NJ 07704
(732) 842-6729
(732) 842-7901
Mailing address
403 RIVER RD, FAIR HAVEN, NJ 07704
(732) 842-6729
(732) 842-7901
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MA29119
NJ
Other
Enumeration date
11/03/2006
Last updated
06/18/2008
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