Provider Demographics
NPI:1275695504
Name:DANZIGER, STEVEN F (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:F
Last Name:DANZIGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:797 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1517
Mailing Address - Country:US
Mailing Address - Phone:201-265-2784
Mailing Address - Fax:201-599-9034
Practice Address - Street 1:1129 BROAD ST
Practice Address - Street 2:BLOOMFIELD TOTAL HEALTH CENTER
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2918
Practice Address - Country:US
Practice Address - Phone:973-338-3620
Practice Address - Fax:973-338-4849
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA001558002251X0800X
NY003864-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJBS139OtherOXFORD HEALTH
NJPH002284Medicare ID - Type Unspecified