Organization
PRIMARY CARE OF ORADELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/06/2015
Last updated
05/09/2024
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