Organization
PRISM PHYSICAL THERAPY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FRISCIA (PHYSICAL THERAPIST)
(609) 581-7550
Entity
Organization
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD, SUITE 407 BLDG A, 08619, NJ 08619
(609) 581-7550
Mailing address
1245 WHITEHORSE MERCERVILLE RD, SUITE 407 BLDG A, 08619, NJ 08619
(609) 581-7550
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0879849000
KEYSTONE
—
01
—
CE1023
MEDICARE RAILROAD
—
01
—
J13287
HEALTHNET
—
Enumeration date
02/21/2007
Last updated
08/22/2020
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