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Organization

PHYSICAL MEDICINE OF NEW JERSEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RIVA L KAYNAN MD (OWNER)
(973) 523-5252
Entity
Organization

Contact information

Practice address
234 MCLEAN BLVD, PATERSON, NJ 07504-1021
(973) 523-5252
(973) 523-5246
Mailing address
234 MCLEAN BLVD, PATERSON, NJ 07504-1021
(973) 523-5252
(973) 523-5246

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA07379000
NJ

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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