Organization Name: | ADVANCED PHYSICAL MEDICINE & REHABILATION CENTER LLC |
NPI Number: | 1578501524 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER ANTHONY DENINO (PARTNER) |
Mailing Address: | 1645 State Highway 88 Brick |
State: | NJ US |
Postal Code: | 087243049 |
Phone Number: | 7322021200 |
Fax Number: | 7322021300 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 03/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 4OQAO1152600 |
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. |