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Organization

TRINITY REHAB SOMERSET PA

Active
Parent organization
TRINITY REHAB SOMERSET PA
Other names
Trinity Rehab Hackensack
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRINITY REHAB SOMERSET PA
Authorized official
TONYA GAVRIELIDES (AO)
(732) 219-5700
Entity
Organization

Contact information

Practice address
380 W PLEASANTVIEW AVE, HACKENSACK, NJ 07601-8005
(732) 219-5700
Mailing address
554 HIGHWAY 35, RED BANK, NJ 07701-5066
(732) 219-5700
(732) 334-3004

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245789064
BCBS
NJ
Enumeration date
08/17/2021
Last updated
08/17/2021
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