Individual
JOSEPH DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
333 ELMWOOD AVE, MAPLEWOOD, NJ 07040-2491
(973) 313-2104
(973) 996-2319
Mailing address
5 COLUMBIA DR, APT. 1B, BRIDGEWATER, NJ 08807-3405
(908) 296-1781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00282400
NJ
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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