Provider Demographics
NPI:1437879749
Name:KB PHYSIATRY LLC
Entity Type:Organization
Organization Name:KB PHYSIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KASIM
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:BABAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-725-2332
Mailing Address - Street 1:40 NEW BRUNSWICK AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-5000
Mailing Address - Country:US
Mailing Address - Phone:609-389-9261
Mailing Address - Fax:732-631-8262
Practice Address - Street 1:40 NEW BRUNSWICK AVE STE 2
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-5000
Practice Address - Country:US
Practice Address - Phone:609-389-9261
Practice Address - Fax:732-631-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty