Individual
JERRY MASANQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
MULTICARE THERAPY CENTER 1527 ROUTE 27, SUITE 1100, SOMERSET, NJ 08873
(732) 545-7474
Mailing address
11 ROCK RUN RD, EAST WINDSOR, NJ 08520-3048
(609) 448-8554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00672000
NJ
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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