Individual
MR. GARY ALLAN SHIFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
300 COMMERCENTER STATE HWY. 17 SOUTH, SUITE G, MAHWAH, NJ 07430
(201) 529-8322
(201) 529-8377
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
40QA00333400
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00333400
NJ
Other
Enumeration date
06/13/2006
Last updated
09/03/2024
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