Organization Name: | AIA NETWORK, LLC |
NPI Number: | 1316155898 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANOTHONY F CALDARELLA (OWNER) |
Mailing Address: | 14 Bridgewaters Drive Suite A Oceanport |
State: | NJ US |
Postal Code: | 07757 |
Phone Number: | 7325426600 |
Fax Number: | 7325426606 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA00709100 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |