Organization
MED A QUEST PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SOBIECH SENIOR DIRECTOR (SR. DIRECTOR OF OPERATIONS)
(609) 646-2479
Entity
Organization
Contact information
Practice address
6814 TILTON RD STE G, EGG HARBOR TOWNSHIP, NJ 08234-4490
(609) 573-3001
(609) 646-5622
Mailing address
6814 TILTON RD STE G, EGG HARBOR TOWNSHIP, NJ 08234-4490
(609) 573-3001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6614400
—
NJ
Enumeration date
02/15/2023
Last updated
02/15/2023
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