Organization
ADVANCED COMMUNITY REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY IZUNDU OKEKE DPT (OWNER/DIRECTOR)
(973) 416-4800
Entity
Organization
Contact information
Practice address
40 UNION AVE STE 304, IRVINGTON, NJ 07111-3290
(973) 416-4800
Mailing address
40 UNION AVE STE 304, IRVINGTON, NJ 07111-3290
(973) 416-4800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00590500
NJ
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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