Organization
MILLENNIUM PHYSICAL THERAPY III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ROSE P.T. (MANAGING PARTNER)
(201) 529-8322
Entity
Organization
Contact information
Practice address
300 ROUTE 17, SUITE G, MAHWAH, NJ 07430-2141
(201) 529-8322
(201) 529-8377
Mailing address
300 ROUTE 17, SUITE G, MAHWAH, NJ 07430-2141
(201) 529-8322
(201) 529-8377
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA00333400
NJ
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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