Organization
DEFABIO SPINE AND SPORTS REHAB, LLC
Active
Organization
DEFABIO SPINE AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C DE FABIO DC (OWNER)
(908) 771-0220
Entity
Organization
Contact information
Practice address
308 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1278
(908) 771-0220
Mailing address
308 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922-1278
(908) 771-0220
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
38MC0282000
NJ
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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