Organization
ADVANCED PHYSICAL MEDICINE & REHABILATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ANTHONY DENINO JR. D.C. (PARTNER)
(732) 202-1200
Entity
Organization
Contact information
Practice address
1645 STATE HIGHWAY 88, BRICK, NJ 08724-3049
(732) 202-1200
(732) 202-1300
Mailing address
1645 STATE HIGHWAY 88, BRICK, NJ 08724-3049
(732) 202-1200
(732) 202-1300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC003514
NJ
174400000X
Specialist
4OQAO1152600
NJ
Other
Enumeration date
06/03/2006
Last updated
03/05/2012
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