Provider Demographics
NPI:1326474081
Name:PARAMUS ORTHOPEDIC PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:PARAMUS ORTHOPEDIC PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEIR
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:201-880-9810
Mailing Address - Street 1:28 FARVIEW TER
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2740
Mailing Address - Country:US
Mailing Address - Phone:201-880-9810
Mailing Address - Fax:201-880-9812
Practice Address - Street 1:28 FARVIEW TER
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2740
Practice Address - Country:US
Practice Address - Phone:201-880-9810
Practice Address - Fax:201-880-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy