Provider Demographics
NPI:1609596279
Name:PHYSIATRY AND REHAB ASSOCIATES
Entity Type:Organization
Organization Name:PHYSIATRY AND REHAB ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-248-5672
Mailing Address - Street 1:3 VALHALLA DR
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-2602
Mailing Address - Country:US
Mailing Address - Phone:908-510-3911
Mailing Address - Fax:
Practice Address - Street 1:3 VALHALLA DR
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831-2602
Practice Address - Country:US
Practice Address - Phone:908-510-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty