Organization
CREST RED BANK PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JOHN CALABRO DO (PRESIDENT)
(732) 212-0060
Entity
Organization
Contact information
Practice address
325 MAPLE AVE, RED BANK, NJ 07701-2104
(732) 528-1010
Mailing address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP5822
RAILROAD MEDICARE
NJ
Enumeration date
12/13/2006
Last updated
07/21/2022
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