Ventnor Physical Medicine, LLC
Specialist in Linwood, NJ. Organization (NPI-2).
NPI number1457553133
StatusActive
Last updated in NPPESJul 12, 2007
Details
- NPI
- 1457553133
- Entity type
- Organization (NPI-2)
- Legal business name
- Ventnor Physical Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2007
- Last updated
- Jul 12, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MA70714 | NJ | Yes |
Practice location
2106 New RoadSuite E-3
Linwood, NJ 08221-1052
Phone 609-927-3355 · Fax 609-927-3385
Mailing address
2106 New RoadSuite E-3
Linwood, NJ 08221-1052
Phone 609-927-3355 · Fax 609-927-3385
Authorized official
Judi L. Tassone
MD
6099273355
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