Provider Demographics
NPI:1760404735
Name:ZAFFARESE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ZAFFARESE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZAFFARESE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-947-0542
Mailing Address - Street 1:3 OAKMONT CT
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2509
Mailing Address - Country:US
Mailing Address - Phone:609-947-0542
Mailing Address - Fax:609-918-9811
Practice Address - Street 1:400 US HIGHWAY 130
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2792
Practice Address - Country:US
Practice Address - Phone:609-947-0542
Practice Address - Fax:609-918-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1246918261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy