| Organization Name: | NJ TURNPIKE REHABILITATION PC |
| NPI Number: | 1316255987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MUHAMMAD A MIRZA (PRESIDENT) |
| Mailing Address: | 124 Eileen Dr Cedar Grove |
| State: | NJ US |
| Postal Code: | 070091352 |
| Phone Number: | 9734937607 |
| Fax Number: | 9734711202 |
| NPI Enumeration Date: | 09/16/2010 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MA072674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |