Individual
HAIDER RIZVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3830 PARK AVE, SUITE 208, EDISON, NJ 08820-2562
(732) 494-0895
(732) 494-0896
Mailing address
186 PATERSON AVE, EAST RUTHERFORD, NJ 07073-1837
(201) 933-3040
(201) 933-8611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01330500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01330500
PHYSICAL THERAPY LICENSE NUMBER
NJ
Enumeration date
09/04/2009
Last updated
12/18/2017
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