Organization
MATTHEW BUSACCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUSACCA (OWNER)
(732) 552-6252
Entity
Organization
Contact information
Practice address
1225 GARDENS AVE, POINT PLEASANT BORO, NJ 08742-4043
(848) 863-8420
Mailing address
1225 GARDENS AVE, POINT PLEASANT BORO, NJ 08742-4043
(732) 552-6253
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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