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Organization

BERGENFIELD PHYSICAL THERAPY AND REHABILITATION, INC

Active
Other names
Bergenfield Physical Therapy and Pain Management, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE ANMOSEL PASTRANO LOZADA PT (PT DIRECTOR)
(201) 384-0200
Entity
Organization

Contact information

Practice address
108 S WASHINGTON AVE STE B, BERGENFIELD, NJ 07621-2341
(201) 384-0200
(201) 384-0030
Mailing address
108 S WASHINGTON AVE STE B, BERGENFIELD, NJ 07621-2341
(201) 384-0200
(201) 384-0030

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00718000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
064850SGK
MEDICARE PIN
NJ
01
076474SGK
MEDICARE PIN
NJ
01
606458100
ACS DEPT OF LABOR
NJ
01
J32610
HEALTHNET
NJ
Enumeration date
07/16/2006
Last updated
06/18/2013
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