Organization
FAIR LAWN SPINE & PT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F THIMMEL DC (CLINIC DIRECTOR)
(201) 794-6868
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410
(201) 794-6868
(201) 794-6003
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410
(201) 794-6868
(201) 794-6003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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