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Matthew Busacca LLC

Clinic/Center, Physical Therapy in Point Pleasant Boro, NJ. Organization (NPI-2).

NPI number1457930299
StatusActive
Last updated in NPPESApr 7, 2021

Details

NPI
1457930299
Entity type
Organization (NPI-2)
Legal business name
Matthew Busacca LLC
Organization subpart
No
Enumeration date
Apr 7, 2021
Certification date
Apr 7, 2021
Last updated
Apr 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

1225 Gardens Ave
Point Pleasant Boro, NJ 08742-4043

Phone 848-863-8420

Mailing address

1225 Gardens Ave
Point Pleasant Boro, NJ 08742-4043

Phone 732-552-6253

Authorized official

Matthew Busacca
Owner
7325526252

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