Organization
DON A JANNICELLI, PT
Active
Other names
Bloomfield Inst Phy Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHERYL C FRANKOSKI (OFFICE MANAGER)
(973) 680-1971
Entity
Organization
Contact information
Practice address
230 BROAD ST, BLOOMFIELD, NJ 07003-2606
(973) 680-1971
(973) 680-4837
Mailing address
230 BROAD ST, BLOOMFIELD, NJ 07003-2606
(973) 680-1971
(973) 680-4837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00135900
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA00135900
NJ
261QR0400X
Rehabilitation Clinic/Center
40QA00135900
NJ
Other
Enumeration date
11/28/2006
Last updated
07/18/2008
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