Organization
SAM REHAB CONSULTANT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAM M SHAHIN DPT (DPT)
(201) 417-9556
Entity
Organization
Contact information
Practice address
280 MAPLE ST, SECAUCUS, NJ 07094-3706
(201) 417-9556
(201) 863-0944
Mailing address
280 MAPLE ST, SECAUCUS, NJ 07094-3706
(201) 417-9556
(201) 863-0944
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00577000
NJ
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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