Organization
GARDEN STATE REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGDA GAD (BILLING MANAGER)
(404) 300-9321
Entity
Organization
Contact information
Practice address
18 NORTH ST, ELMWOOD PARK, NJ 07407-2246
(404) 300-9321
(862) 239-1681
Mailing address
642 BROAD ST, CLIFTON, NJ 07013-1615
(404) 300-9321
(862) 239-1681
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
41YS00599300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00599300
LICENSE
NJ
Enumeration date
03/16/2015
Last updated
03/16/2015
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