Individual
MR. GIANCARLO SILVERIO DUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
458 ELIZABETH AVE, SUITE 5385, SOMERSET, NJ 08873-5110
(908) 429-4144
Mailing address
213 SOUTH 8TH AVENUE, MANVILLE, NJ 08835
(908) 967-4495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
003513-1
NY
225200000X
Physical Therapy Assistant
Primary
40QB00150900
NJ
Other
Enumeration date
02/07/2012
Last updated
07/04/2012
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