Organization
TRINITY REHAB SOMERSET PA
Active
Organization
TRINITY REHAB SOMERSET PA
Active
Other names
Trinity Rehab Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA GAVRIELIDES (OFFICE MANAGER)
(732) 219-5700
Entity
Organization
Contact information
Practice address
1172 HAMBURG TPKE, WAYNE, NJ 07470-5054
(732) 219-5700
(732) 334-3004
Mailing address
554 HIGHWAY 35, RED BANK, NJ 07701-5066
(732) 219-5700
(732) 334-3004
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245789064
BCBS
NJ
Enumeration date
10/09/2020
Last updated
03/23/2021
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