Individual
DAVE MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
194 MAIN ST, MILLBURN, NJ 07041-1144
(973) 564-9559
(973) 564-9717
Mailing address
194 MAIN ST, MILLBURN, NJ 07041-1144
(973) 564-9559
(973) 564-9717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01563500
NJ
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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