Organization
JERSEY REHAB, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GANGEMI (ADMIN)
(973) 699-2215
Entity
Organization
Contact information
Practice address
45 W RIVER RD, RUMSON, NJ 07760-1345
(732) 345-8535
(732) 345-8533
Mailing address
15 NEWARK AVE, BELLEVILLE, NJ 07109-1123
(973) 844-9220
(973) 485-6126
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
07/21/2022
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