Nj Pain Rehabilitation Group, Pc

NPI 1023281284 - Family Medicine - 207Q00000X

NPI Details
NPI 1023281284
Enumeration Date 04/09/2008
Last Updated 10/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ANTONIO ANTONIO
Position OWNER
Phone (973) 751-2060
Fax
Practice Location
631 BROADWAY
FIRST FLOOR
BAYONNE NJ, 07002, US
Phone (973) 751-2060
Fax
Business Location
885 BROADWAY PMB168
PMB168
BAYONNE NJ, 07002, US
Phone (973) 751-2060
Fax (973) 751-3334
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MB057523
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According to our database, Nj Pain Rehabilitation Group, Pc NPI is 1023281284, taxonomy code is 207Q00000X and license number is MB057523, license state is located at New Jersey. Nj Pain Rehabilitation Group, Pc physically located at 631 Broadway, Bayonne NJ, 07002. NPI Number 1033115704 has the healthcare provider type.

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1023281284 NPI number is provided on an as is basis without warranty of any kind. 1023281284 is maintained by the National Plan & Provider Enumeration System. The contents of Nj Pain Rehabilitation Group, Pc are for informational purposes only.