Organization
NEW JERSEY REHAB PAIN CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY MAASIN CALINOG RPT (OWNER)
(347) 612-1894
Entity
Organization
Contact information
Practice address
471 BOULEVARD APT. A, HASBROUCK HEIGHTS, NJ 07604-1002
(347) 612-1894
Mailing address
845 BROAD AVE, #103, RIDGEFIELD, NJ 07657-1002
(347) 612-1894
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01441600
NJ
Other
Enumeration date
02/22/2015
Last updated
05/03/2016
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