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1922168533
FUNCTIONAL DIAGNOSTICS PC
KEYPORT, NJ
NPI
1922168533
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Entity Type
Organization
Authorized Contact
MICHAEL CHILLEMI
CEO
732-335-4040
Organization Subpart ?
No
Primary Taxonomy
273Y00000X Rehabilitation Unit
Enumeration Date
2006-12-12
Last Update Date
2020-08-22
Business Address
FUNCTIONAL DIAGNOSTICS PC
364 BROAD ST
KEYPORT, NJ 07735-1619
Phone number: 732-335-4040
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Mailing Address
FUNCTIONAL DIAGNOSTICS PC
364 BROAD ST
KEYPORT, NJ 07735-1619
Phone number: 732-335-4040
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