Organization
HASBROUCK HEIGHTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITENDER PRASAD MD (PRESIDENT)
(973) 928-5360
Entity
Organization
Contact information
Practice address
1037 ROUTE 46, SUITE G5, CLIFTON, NJ 07013-2451
(973) 928-5360
(973) 928-5358
Mailing address
1037 ROUTE 46, SUITE G5, CLIFTON, NJ 07013-2451
(973) 928-5360
(973) 928-5358
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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