Organization
BOULEVARD PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM S GREEN PT (PRESIDENT)
(908) 377-4095
Entity
Organization
Contact information
Practice address
467 BOULEVARD, KENILWORTH, NJ 07033-1664
(908) 377-4095
Mailing address
1203 EMERSON AVE, NORTH CAPE MAY, NJ 08204-2106
(908) 377-4095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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