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Contact Information

ADVANCED PHYSICAL MEDICINE & REHABILITATION, LLC
1719 MAIN ST
LAKE COMO, NJ07719-3097
 Phone: 732-894-9200
 Fax: 732-894-9202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for ADVANCED PHYSICAL MEDICINE & REHABILITATION, LLC

NPI # 1114336138
LBN Legal business name ADVANCED PHYSICAL MEDICINE & REHABILITATION, LLC
Authorized official DANIEL REIZIS - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2014
Last updated 08/04/2014 - About 12 years ago
Identifiers
NJ License # 25MZ00090400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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