Individual
MR. ELMER MAGANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 MCGILLVRAY PL, LINDEN, NJ 07036-1349
(908) 764-1227
Mailing address
807 MCGILLVRAY PL, LINDEN, NJ 07036-1349
(908) 764-1227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
004837-1
NY
225200000X
Physical Therapy Assistant
Primary
40QB00194000
NJ
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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