Organization
PT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASTAIRE PEREZ (OWNER)
(201) 600-5898
Entity
Organization
Contact information
Practice address
216 SHUNPIKE RD, CHATHAM, NJ 07928-1855
(201) 600-5898
Mailing address
216 SHUNPIKE RD, CHATHAM, NJ 07928-1855
(201) 600-5898
(201) 604-6717
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00996900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091667
MEDICARE
NJ
Enumeration date
02/25/2014
Last updated
07/15/2015
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