Premier Pt Limited Liability Comp

NPI 1205235595 - Clinic/Center - 261QP2000X

NPI Details
NPI 1205235595
Enumeration Date 08/22/2014
Last Updated 03/13/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DOUGLAS D DOUGLAS
Position PHYSICAL THERAPIST
Phone (973) 467-4444
Fax
Practice Location
750 MORRIS TPKE
SHORT HILLS NJ, 07078-2614, US
Phone (973) 467-4444
Fax
Business Location
750 MORRIS TPKE
SHORT HILLS NJ, 07078-2614, US
Phone (973) 467-4444
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State New Jersey
License Number 40QA00915800
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According to our database, Premier Pt Limited Liability Comp NPI is 1205235595, taxonomy code is 261QP2000X and license number is 40QA00915800, license state is located at New Jersey. Premier Pt Limited Liability Comp physically located at 750 Morris Tpke, Short Hills NJ, 07078-2614. NPI Number 1033115704 has the healthcare provider type.

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1205235595 NPI number is provided on an as is basis without warranty of any kind. 1205235595 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Pt Limited Liability Comp are for informational purposes only.