Organization
PHYSICAL MEDICINE AND REHABILITATION CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY S GHOSH D.O (DOCTOR OF OSTEOPATHIC MEDICINE)
(201) 567-2277
Entity
Organization
Contact information
Practice address
500 GRAND AVE, FIRST FLOOR, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
(201) 567-2639
Mailing address
500 GRAND AVE, FIRST FLOOR, ENGLEWOOD, NJ 07631-4967
(201) 567-2277
(201) 567-2639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB07455100
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MB07455100
NJ
Other
Enumeration date
05/20/2006
Last updated
03/15/2010
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