Organization
CONCENTRA MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRINA BURDETSKY (PHYSICAL THERAPIST)
(917) 804-8865
Entity
Organization
Contact information
Practice address
375 MCCARTER HWY, NEWARK, NJ 07114-2562
(973) 643-8601
(973) 643-8609
Mailing address
375 MCCARTER HWY, NEWARK, NJ 07114-2562
(973) 643-8601
(973) 643-8609
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01256600
NJ
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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