Organization
ELITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED MASOUD DPT (OWNER)
(908) 590-2620
Entity
Organization
Contact information
Practice address
2189 MORRISON AVE, UNION, NJ 07083-5207
(908) 590-2620
Mailing address
2189 MORRISON AVE, UNION, NJ 07083-5207
(908) 590-2620
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01283500
NJ
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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