Organization
LIBERTY REHABILITATION ASSOCIATES
Active
Organization
LIBERTY REHABILITATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L MAYORAL M.D. (MEDICAL DIRECTOR OF GROP)
(201) 392-3231
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3231
(201) 392-3207
Mailing address
PO BOX 345, WAYNE, NJ 07474-0345
(201) 392-3231
(201) 392-3207
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA068155
NJ
Other
Enumeration date
08/25/2005
Last updated
08/22/2020
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