Integrative Rehabilitation Medicine Pllc

NPI 1174869358 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1174869358
Enumeration Date 12/17/2012
Last Updated 12/17/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ANDREW D ANDREW
Position PRESIDENT
Phone (201) 345-7079
Fax (845) 547-0345
Practice Location
680 KINDERKAMACK RD
SUITE #205
ORADELL NJ, 07649-1600, US
Phone (201) 345-7079
Fax (845) 547-0345
Business Location
680 KINDERKAMACK RD
SUITE #205
ORADELL NJ, 07649-1600, US
Phone (201) 345-7079
Fax (845) 547-0345
Toxanomy
Taxonomy Code 208100000X
License State New Jersey
License Number 25MA08800900
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According to our database, Integrative Rehabilitation Medicine Pllc NPI is 1174869358, taxonomy code is 208100000X and license number is 25MA08800900, license state is located at New Jersey. Integrative Rehabilitation Medicine Pllc physically located at 680 Kinderkamack Rd, Oradell NJ, 07649-1600. NPI Number 1033115704 has the healthcare provider type.

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1174869358 NPI number is provided on an as is basis without warranty of any kind. 1174869358 is maintained by the National Plan & Provider Enumeration System. The contents of Integrative Rehabilitation Medicine Pllc are for informational purposes only.