Organization
OPTIMA MEDICAL REHABILITATION P A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN SOBERMAN NOVICK M.D. (PRESIDENT)
(908) 591-1359
Entity
Organization
Contact information
Practice address
1 GREENWOOD AVE, SUITE 100, MONTCLAIR, NJ 07042-3649
(973) 746-2424
(973) 746-5030
Mailing address
225 ROUTE 35, SUITE 208, RED BANK, NJ 07701-5919
(732) 383-4173
(732) 383-6904
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05002200
NJ
Other
Enumeration date
10/21/2013
Last updated
05/14/2014
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