| Organization Name: | CENTER FOR EVALUATION AND TREATMENT OF NEUROMUSCULAR AND ORTHOPEDIC DI |
| NPI Number: | 1467522235 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA MEHTA (MEDICAL DIRECTOR) |
| Mailing Address: | 191 Palisade Ave Jersey City |
| State: | NJ US |
| Postal Code: | 073061133 |
| Phone Number: | 2016564324 |
| Fax Number: | |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 33984 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |