Organization
BERGENFIELD PHYSICAL THERAPY AND REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUNINGNING TUAZON LOZADA PT (PT)
(973) 979-5283
Entity
Organization
Contact information
Practice address
135 BLOOMFIELD AVE, SUITE C, BLOOMFIELD, NJ 07003-5902
(973) 429-0045
(973) 429-8161
Mailing address
135 BLOOMFIELD AVE, SUITE C, BLOOMFIELD, NJ 07003-5902
(973) 429-0045
(973) 429-8161
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01065200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064850SGL
JOSE ANMOSEL LOZADA, PT
NJ
01
—
076474SGL
LUNINGNING LOZADA, PT
NJ
Enumeration date
12/05/2006
Last updated
08/22/2020
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