Organization
NORTH JERSEY REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRUS R VOSOUGH MD (OWNER)
(973) 595-0063
Entity
Organization
Contact information
Practice address
504 HAMBURG TPKE STE B105, WAYNE, NJ 07470-2034
(973) 595-0063
(973) 240-8990
Mailing address
PO BOX 43092, UPPER MONTCLAIR, NJ 07043-0092
(973) 595-0063
(973) 720-0408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA70629
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8481008
—
NJ
Enumeration date
05/25/2006
Last updated
03/10/2021
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