Individual
MR. JERRY THOMAS MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
23-00 ROUTE 208, FAIR LAWN, NJ 07410
(201) 796-1138
(201) 796-7484
Mailing address
23-00 ROUTE 208, FAIR LAWN, NJ 07410
(201) 796-1138
(201) 796-7484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01224100
NJ
Other
Enumeration date
10/31/2006
Last updated
08/05/2007
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