Organization
EAST BRUNSWICK REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG BORISOV DC (MEMBER)
(718) 368-0100
Entity
Organization
Contact information
Practice address
65 RUES LN, EAST BRUNSWICK, NJ 08816-4240
(718) 368-0100
(718) 368-1208
Mailing address
65 RUES LANE, EAST BRUNSWICK, NJ 08816-4240
(732) 257-4444
(732) 257-9799
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07870200
NJ
Other
Enumeration date
06/24/2011
Last updated
12/19/2011
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