Provider Demographics
NPI:1457471674
Name:HROSIK, ALBERT EDWARD (MPT)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:EDWARD
Last Name:HROSIK
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-2605
Mailing Address - Country:US
Mailing Address - Phone:856-719-9281
Mailing Address - Fax:
Practice Address - Street 1:100 CREEK CROSSING BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036
Practice Address - Country:US
Practice Address - Phone:609-265-0700
Practice Address - Fax:609-265-0708
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01175400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist