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Organization

PERSONALIZED PHYSIATRY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YASMEEN CHAUDHARY MD (PRESIDENT)
(732) 583-4367
Entity
Organization

Contact information

Practice address
10 CINDY ST, OLD BRIDGE, NJ 08857-3002
(732) 583-4367
(732) 862-1201
Mailing address
26 DONALD CIR, MATAWAN, NJ 07747-9521
(732) 202-8847
(732) 862-1201

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA07439600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104655
NJ
Enumeration date
02/21/2007
Last updated
03/17/2010
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