Organization Name: | GENERATIONS PHYSICAL MEDICINE LLC |
NPI Number: | 1093878852 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL H GROSSMAN (PRESIDENT) |
Mailing Address: | 14 Cherry Tree Farm Road Middletown |
State: | NJ US |
Postal Code: | 077482297 |
Phone Number: | 7326713535 |
Fax Number: | 7326710829 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA07722700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |