| NPI | 1962738609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE CONSUNJI MARCON President 201-674-0737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ PT40QA01074500) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NJ 40QA01074500) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 40QA01074500) | |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2015-03-10 |