Individual
ANDREA BANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERTSON DR STE 20, BEDMINSTER, NJ 07921-1716
(908) 719-2000
Mailing address
22 SULFRIAN RD, NEW PROVIDENCE, NJ 07974-1227
(908) 656-4238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01913000
NJ
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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